A case of biliary cystadenocarcinoma as one of triple cancers

Abstract

A case of biliary cystadenocarcinoma with metachronous lung cancer and synchronous gastric cancer in a 68-year-old man is reported.
In March 1982, this patient had undergone left upper lobectomy for lung cancer (T₂N₀M₀, squamous cell carcinoma). He was admitted to the University Hospital because of upper abdominal pain in July 1985. On this admission, he was diagnosed to have a tumor of the left intrahepatic duct and an early carcinoma of the stomach. Left hepatic lobectomy and distal gastrectomy with lymphadenectomy were carried out. Histological examination revealed that gastric cancer (IIc+III type) was moderately differentiated adenocarcinoma limited to the mucosa and hepatic tumor, biliary cystadenocarcinoma 2.0×2.0cm in size.
This is the first reported case of biliary cystadenocarcinoma as one of triple cancers.