Korean Journal of Gastrointestinal Endoscopy 1988;8(2): 167-170.
장기간 생존한 담낭 및 총수담관에 발생한 중복암 1예 ( Multicentric Extrahepatic Tumor Involving the Gallbladder and Common Bile Duct A Case Report of Longterm Survival )
심찬섭, 조성원, 김진홍, 김완동, 김용일 (Chan Sup Shim, Wan Dong Kim, Jin Hong Kim, Sung Won Cho and Yong Il Kim)
Abstract
A 60-year-old woman has experienced of right upper quadrant abdominal discomfort. This partient took cholecytectomy due to gall stone 15 years ago. At that time microscopic finding the neck of gallbladder showed well differentiated papillary adenocarcinoma confined to superficial part of musele layer. 3 years before admission she took T-tube drainage due to obstructive jaundice. The microscopic finding af distal common bile duct showed well differentiated adenocarcinoma. Recently she complained of pain and discomfort on T-tube site and so we perforrned endoscopic retrograde biliary drainage after removal of T-tube. The computed tomogram showed no mass in liver or lymph node enlargement. 4 months after procedure of ERBD; we changed to the new catheter for the prevention of cloggiag of prosthesis. We report here a case of longterm survival over 15 years after the diagnosis of cancer of extrahepatic bile duct.
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