A Case of Primary Carcinoma of the Cystic Duct Resected at the Relatively Early Stage

Hironobu Kimura, Hiroyuki Takamura, Hajime Arakawa, Kiichi Maeda, Masahiro Kanno, Makoto Uogishi, Hiroshi Sodani, Seiichi Kanno

Department of Gastroenterology, Keiju Hospital

A case of primary carcinoma of the cystic duct based on Farrar's criteria is reported. The patient, an 81-year-old woman, was admitted complaining of a mass in the right upper quadrant and diagnosed as having a tumor in the cystic duct. Cholecystecotmy was performed. A tumor measuring 1.3×0.7 cm was detected in the cystic duct of the resected gall bladder, however malignancy was not revealed in a frozen section. The removal of regional lymph nodes (No. 12) was added because a malignant tumor could not be completely denied. Microscopic examination showed a well-differentiated adenocarcinoma infiltrating the submucosa without metastasis to regional lymph nodes. The diagnostic and therapeutic problems with a tumor in the cystic duct are discussed on the basis of 16 cases reviewed.

Key words
primary carcinoma of the cystic duct, Farrar's criteria

Reprint requests
Hironobu Kimura Department of Gastroenterology, Keiju Hospital
94 Tomioka-cho, Nanao, 926 JAPAN

Accepted
June 17, 1992

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