A Case of Solitary Splenic Metastasis from Bile Duct Carcinoma

Akihiro Tsukahara, Kazuhiko Endo, Kaori Hayashi, Kaoru Sakamoto, Masahumi Mitsui, Jun Hasegawa and Yoshihiko Kimura

Department of Surgery, Akita Kumiai General Hospital

We report a case of solitary splenic metastasis after bile duct resection for bile duct carcinoma. A 75-year-old man underwent surgery for bile duct carcinoma in 2002 involving bile duct resection, cholecystectomy, and hepaticoduodenostomy. Histological diagnosis was moderately differentiated tubular adenocarcinoma, pT2 (ss, pHinf0, pPanc0, pPV0, pA0), pN0, ly1, v1, fStage II, pHM0, pDM0, pEM1. In June 2004, tumor markers (CEA, CA 19-9) increased and computed tomography (CT) showed a solitary splenic tumor 25 mm in diameter. Splenectomy in July 2004 was diagnosed histopathologically as splenic metastasis from bile duct carcinoma. The postoperative course was uneventful. No recurrence has been seen. To our knowledge, this is the first case of splenic metastasis from bile duct carcinoma reported in the Japanese literature.

Key words
bile duct carcinoma, splenic, metastasis

Reprint requests
Akihiro Tsukahara Department of Surgery, Akita Kumiai General Hospital
1-1-1 Nishibukuro, Iijima, Akita, 011-0948 JAPAN

Accepted
March 30, 2005

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