Korean J Gastrointest Endosc.  1997 Dec;17(6):872-877.

A Case of Common Bile Duct Cancer with Mucosal and Submucosal Spread to Gallbladder and Common Hepatic Duct

• Lim ST
• Koh HW
• Ahn HS
• Han KH
• Kim DG
• Ahn DS
• Chung MJ
• Cho BH

Abstract

Cholangiocarcinoma is a form of adenocarcinoma arising from the intrahepatic or extrahepatic biliary epithelium. Apparent predisposing factors include some chronic hepatobiliary parasitic infsttations, congenital anomalies with ectatic ducts, sclerosing cholangitis and chronic ulcerative colitis and occupational exposure to possible biliary tract carcinogens. Patients with cholangiocarcinoma usually present with biliary obstruction, painless jaundice, pruritus, weight loss and acholic stools. Because the obstructing process is gradua1, the cholangiocarcinoma is often far advanced by the time it presents clinically. The diagnosis is most frequently made by cholangiography following ultrasound demonstration of dilated intrahepatic bile ducts. We report a case of common bile duct cancer spreading to gallbladder and common hepatic duct along the biliary mucosal epitherium and submucosal tissue in 68-year-old female patient along with a review of literature.

Keyword

Cholangiocarcinoma; Common bile duct cancer; Mucosal and submucosal spread

MeSH Terms

Adenocarcinoma
Aged
Bile Ducts, Intrahepatic
Biliary Tract
Carcinogens
Causality
Cholangiocarcinoma
Cholangiography
Cholangitis, Sclerosing
Colitis, Ulcerative
Common Bile Duct*
Diagnosis
Epithelium
Female
Gallbladder*
Hepatic Duct, Common*
Humans
Jaundice
Occupational Exposure
Pruritus
Ultrasonography
Weight Loss
Carcinogens