Liver Metastasis with Biliary Tumor Thrombus from Colon Cancer with Synchronous Gastric Cancer

Hiroyuki Sugimoto, Suguru Yamada, Hideki Kasuya, Naohito Kanazumi, Shuji Nomoto, Shin Takeda and Akimasa Nakao

Department of Gastroenterological Surgery, Nagoya University, Graduate School of Medicine

A 65-year-old man presenting with diabetes and abnormal blood examination results was found in CT to have a large liver tumor with intrahepatic bile duct dilation. He had undergone colectomy for colon cancer 11 years earlier, so we conducted endoscopic examination that indicated gastric cancer. Based on diagnosis of intrahepatic biliary cancer with synchronous gastric cancer, we conducted right hepatectomy and dital gastrectomy, but found pathological evidence of cancer metastasis from colon cancer with synchronous gastric cancer. This unusual case featured characteristics of liver metastasis with a biliary tumor thrombus derived from colon cancer and a markedly long interval between colectomy and metachronous liver metastasis.

Key words
colon cancer, biliary tumor thrombus, liver metastasis

Reprint requests
Hiroyuki Sugimoto Department of Gastroenterological Surgery, Nagoya University Graduate School of Medicine
65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550 JAPAN

Accepted
January 28, 2009

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