학술논문
A Case of Intrahepatic Cholangiocarcinoma with Recurrence-Free Survival for Twelve Years after Five Resections for Intrahepatic Recurrence after Initial Hepatectomy / 初回切除後5回の肝内再発巣切除を行い12年以上無再発生存が得られている肝内胆管癌の1例
Document Type
Journal Article
Author
Source
日本消化器外科学会雑誌 / The Japanese Journal of Gastroenterological Surgery. 2020, 53(11):882
Subject
Language
Japanese
ISSN
0386-9768
1348-9372
1348-9372
Abstract
A 73-year-old woman underwent right hepatic trisectionectomy for a mass forming type of intrahepatic cholangiocarcinoma (ICC) of 4.5 cm in size. She then underwent five resections for intrahepatic recurrence at the following times after the initial surgery: i) 2 years and 1 month, 2 cm in segment 1, ii) 2 years and 9 months, 3 cm in segment 1, iii) 3 years and 8 months, 1.5 cm in segment 2, iv) 5 years and 9 months, 2 cm in segment 3, and v) 6 years and 11 months, 3 cm in segment 2. Histopathologically, all the resected tumors were diagnosed as the mass forming type of ICC with moderately differentiated adenocarcinoma, but without capsule or vessel invasion. The patient remains alive and disease-free at 12 years after the initial surgery. We report a rare case of long-term survival achieved with repeated resections for intrahepatic recurrences of ICC.