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KMID : 0614619940260060987
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Korean Journal of Gastroenterology
1994 Volume.26 No. 6 p.987 ~ p.994
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A Clinical Review of Peripheral Cholangiocellular Carcinoma
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Abstract
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Seventeen cases of microscopically-proven peripheral cholangiocellular carcinoma(CCC) during 4 year period from june 1989 to june 1993 were reviewed. They comprised 9 men and 8 woment with an average age of 50 years(range : 37 to 62 years). The
overall
incidence of peripheral CCC i association with hepatolithiasis was 3.5% (9 in 258) and 9 out of 17 cases of peripheral CCC were combined with intrahepatic stones. The incidence of accurate preoperative diagnosis was 41% due to low index of
suspicion.
Peripheral CCC developed in 2 patients with hepatolighiasis who underwent CBD exploration and left lateral segmentectomy 2 and 3 years later respectively. Their residual stones were completely removed by choledochoscopy after the operations. The
resectability of 17 peripheral CCC was 47% (8 out of 17). The growth pattern of peripheral CCC was mass-forming type in 6 cases and infiltrative type in 2 cases. Four patients with mass-forming type died within 1 year because of tumor recurrence.
One
patient with infiltrative type survives 41 months after resection without any evidence of recurrence. (Korean J Gastroenterol 1994 ; 26 : 987-994)
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