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Japanese Journal of Clinical Oncology 19:287-293 (1989)
© 1989 Foundation for Promotion of Cancer Research

case-report

Simultaneous Development of Gallbladder and Bile Duct Carcinomas with Atypical Epithelium Intervention: A Case Report

Wataru Kimura1,, Ryohei Miyata2, Tadao Takahashi2 and Moriya Yamashiro2

1Department of Clinical Pathology, Tokyo Metropolitan Institute of Gerontology 35-2 Sakae-cho, Itabashi-ku, Tokyo 173
2Division of Surgery, Tokyo Metropolitan Geriatric Hospital 35-2 Sakae-cho, ltabashi-ku, Tokyo 173

For reprints and all correspondence: Wataru Kimura, M.D., 4-8-12-305 Yushima, Bunkyo-ku, Tokyo 113

Received October 13, 1988; accepted February 21, 1989

An 81-year-old woman, diagnosed as having a lower bile duct carcinoma by percutaneous transhepatic cholangiography and cytology of the bile after the onset of repeated nausea and fever around November, 1986, was given a pancreatoduodenedomy in February, 1987. From histological analyses of specimens taken at surgery, papillary adenocarcinoma of the lower bile duct was revealed with a massive amount of mucin in the cancerous gland lumens, the bile duct and the tubular adenocarcinoma retained in the mucosal layers of the gallbladder. Lying between these carcinoma sites was found atypical epithelia of a lesion borderline between benign and malignant (Group III). The patient's postoperative progress was fair, but she died suddenly of cerebral hemorrhage in July, 1988. No intraperitoneal or general carcinoma relapse was found at autopsy. This is one of the relatively rare cases of a simultaneous development of gallbladder and bile duct carcinomas and we found it of great interest that these carcinomas existed through an intermediate atypical epithelium.

Key Words: Gallbladder carcinoma • Bile duct carcinoma • Atypical epithelium


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