Korean J Clin Oncol.  2019 Jun;15(1):40-45. 10.14216/kjco.190040.

Rapid progression of sarcomatoid carcinoma of the common bile duct

Affiliations
  • 1Department of Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea. k07yyc@catholic.ac.kr
  • 2Department of Pathology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.

Abstract

Since sarcomatoid carcinoma in the common bile duct (CBD) is rarely reported, the clinical course and prognosis after surgery are unclear. We report a case of a patient who died within 1 month after surgery due to rapid tumor progression. A 65-year-old woman had abdominal pain with jaundice. She was diagnosed with CBD cancer and underwent pancreatoduodenectomy. Pathologic examination revealed sarcomatoid carcinoma. There was no postoperative complication, but multiple liver metastasis was diagnosed on computed tomography at 7 days after surgery. Also, the patient complained of abdominal pain and had jaundice with elevated liver enzyme on the 14th postoperative day. Her general condition was getting worse and she died of hepatic failure 23 days after surgery. We report a case of sarcomatoid carcinoma of the CBD that progressed very rapidly. Further research and case reports are needed to establish proper diagnostic and treatment tools.

Keyword

Carcinosarcoma; Common bile duct; Pancreatoduodenectomy; Prognosis

MeSH Terms

Abdominal Pain
Aged
Carcinosarcoma
Common Bile Duct*
Female
Humans
Jaundice
Liver
Liver Failure
Neoplasm Metastasis
Pancreaticoduodenectomy
Postoperative Complications
Prognosis
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