A Resected Case of Gallbladder Fossa Recurrence of Cystic Duct Cancer Producing Alpha-Fetoprotein

Takayoshi Nakajima, Tadashi Tsukamoto, Yutaka Hamabe, Akihiro Toyokawa, Kenichi Tanaka, Kiyonori Kanemitsu, Hironori Yamashita, Hidetoshi Gon and Takeshi Ishida

Department of Surgery, Yodogawa Christian Hospital

We report a case of local cystic duct cancer recurrence resected after curative resection. A 81-year-old-man underwent resection of the gallbladder and the extrahepatic bile duct with lymph node dissection for cystic duct cancer in August 2005. In March 2007, serum AFP and CA19-9 became elevated and dynamic computed tomography (CT) showed a 5 cm mass at the gallbladder fossa. Local recurrence of cystic duct cancer was suspected and the tumor was resected together with liver segment S4a and 5 and the jejunum wall around the tumor near the hepaticojejunostomy. The resected specimen was pathologically diagnosed as the expected local recurrence invading into the liver and the jejunum wall. The tumor had immunoreactivity to AFP. The patient has been free from recurrence in the 24 months following the second surgery.

Key words
cystic duct cancer, local recurrence, AFP

Reprint requests
Takayoshi Nakajima Department of Surgery, Yodogawa Christian Hospital
2-9-26 Awaji, Higashiyodogawa-ku, Osaka, 533-0032 JAPAN

Accepted
October 28, 2009

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