Korean J Pancreas Biliary Tract.  2017 Oct;22(4):188-192. 10.15279/kpba.2017.22.4.188.

Pathologic Complete Remission in a Patient with Locally Advanced Unresectable Intrahepatic Cholangiocarcinoma Treated with Chemotherapy

• Yang HJ
• Ryu JK
• Paik WH
• Lee SH
• Kim YT
• Lee K

• KMID: 2448617
• DOI: http://doi.org/10.15279/kpba.2017.22.4.188

Abstract

A 54-year-old female with postprandial dyspepsia and abdominal pain was diagnosed as locally advanced unresectable intrahepatic cholangiocarcinoma by radiologic imaging studies resulting in invasion to bilateral main bile duct and right portal vein. The patient underwent extended right hepatectomy and portal vein resection after gemcitabine and cisplatin combined chemotherapy for a total of 40 cycles after the diagnosis. Final pathology showed, followed by pathological complete remission, without any residual cancer cell. The patient has survived for over 6 years without any evidence of recurrence. This case suggests that locally advanced intrahepatic cholangiocarcinoma, which can't be resected, was also proved to be capable of pathological complete remission with active chemotherapy, and long-term survival could be achieved. Therefore, active multidisciplinary approach and patient-oriented treatments using various methods should be considered for locally advanced unresectable intrahepatic cholangiocarcinoma.

Keyword

Bile duct cancer; Cholangiocarcinoma; Chemotherapy

MeSH Terms

Abdominal Pain
Bile Duct Neoplasms
Bile Ducts
Cholangiocarcinoma*
Cisplatin
Diagnosis
Drug Therapy*
Dyspepsia
Female
Hepatectomy
Humans
Middle Aged
Neoplasm, Residual
Pathology
Portal Vein
Recurrence
Cisplatin