A case of perihilar cholangiocarcinoma with invasion to the gastric tube after esophagectomy for esophageal carcinoma, accompanied with hypopharyngeal cancer

Abstract

A 54-years-old man, who had underwent esophagectomy and reconstructed with esophagogastrostomy for esophageal carcinoma in 2002, was referred to our hospital for further evaluation and treatment for perihilar cholangiocarcinoma and hypopharyngeal cancer. CT demonstrated a low density area measuring 50mm with unclear margin in left lobe of the liver. The patient received chemoradiation therapy both for hypopharyngeal cancer and for perihilar cholangiocarcinoma in November, 2007. After chemoradiation therapy, CT showed that hypopharyngeal cancer had disappeared, therefore, left hepatectomy, total caudate lobectomy, resection of the extrahepatic bile duct and wedge resection of portal vein was performed in February 2008. As the tumor invaded the gastric tube extensively, we underwent distal gastrectomy with preserving right gastroepiploic artery and vein additionally, resulting in curative operation. Multidisciplinary treatment enabled us to curative therapy for cholangiocarcinoma accompanied with hypopharyngeal cancer.