Journal of The Showa Medical Association
Online ISSN : 2185-0976
Print ISSN : 0037-4342
ISSN-L : 0037-4342
A CASE OF ADENOCARCINOMA IN ADENOMA OF THE COMMON BILE DUCT ACCOMPANIED BY CHOLEDOCHOLITHIASIS AND CHOLEDOCHO DUODENAL FISTULA
Toshiya CHIBA, Osamu SYOUKEI, Masaaki MATSUKAWA, Minoru KURIHARA, Kazuhide KUMAGAI, Kouji SHIMIZU, Hiroaki KAWAI, Toshio MOROHOSHI
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Keywords: common bile duct, adenocarcinoma in adenoma, lithiasis, internal biliarv fistula
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1996 Volume 56 Issue 2 Pages 229-233

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Abstract
A 56 year old man was admitted to our hospital with complaints of jaundice and fever. Abdominal ultrasonography revealed slight dilatation of the common bile duct (CBD) . A stone in the CBD, a tumor in the distal CBD, and a choledocho duodenal fistula were revealed by choledochocystography. Examination of an endoscopic biopsy specimen revealed a papillary adenoma. A specimen obtained at pancreatoduodenectomy contained a papillary tumor of the lower CBD and a choledocho duodenal fistula. Histologic examination revealed adenocarcinoma in adenoma. This case illustrates the malignant potential of adenoma in the biliary tract.
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