Report of a Case with Cholangiocellular Carcinoma Over Five-Year Survival after Resections for a Single Recurrence in Hepatic Remnant and Peritoneal Disseminations

Hidemitsu Sugai, Kaoru Nagahori, Jun Itakura, Yuji Iimuro, Hiroshi Iino, Masayuki Yamamoto, Yoshiro Matsumoto

First Department of Surgery, Yamanashi Medical University

We reported a 62-year-old man who has survived 5.5 years after repeated resections for recurrent cholangiocellular carcinomas (CCC). Three years and nine months after a left hepatic lobectomy, a partial hepatectomy for a recurrent tumor near the surgical margin was performed. Five months after the second operation three nodules on the rectum were resected by Hartmann's operation. For one year and five months no recurrent tumor has been seen. Histologic findings in all specimens were tubular adenocarcinoma with cytoplasmic inclusion bodies and the specimens were positive by CA19-9 immunohistochemical staining. The resected recurrent tumors were probably metastasized for the primary one. CCC is one of the cancers whose prognosis is poor. In our case the repeated resections might have been effective in preventing the recurrence of CCC.

Key words
cholangiocellular carcinoma, resection of intrahepatic recurrence, resection of peritoneal dissemination

Reprint requests
Kaoru Nagahori First Department of Surgery, Yamanashi Medical University
1110, Tamaho, Nakakomagun, Yamanashi, 409-38 JAPAN

Accepted
March 8, 1995

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