Solitary rib recurrence of hilar cholangiocarcinoma 10 years after resection: report of a case

A 61-year-old female underwent right hemihepatectomy and caudate lobectomy for hilar cholangiocarcinoma in 1999. Ten years later, increasing serum carbohydrate 19-9 was detected by routine follow-up. Subsequent positron emission tomography revealed an asymptomatic lesion in the right 11th rib. As th...

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Main Authors:	Ota, Yohei, Matsuyama, Ryusei, Taniguchi, Koichi, Ueda, Michio, Takeda, Kazuhisa, Tanaka, Kuniya, Nakayama, Takashi, Endo, Itaru
Format:	Online
Language:	English
Published:	Springer Japan 2013
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3851936/

id	pubmed-3851936
recordtype	oai_dc
spelling	pubmed-38519362013-12-05 Solitary rib recurrence of hilar cholangiocarcinoma 10 years after resection: report of a case Ota, Yohei Matsuyama, Ryusei Taniguchi, Koichi Ueda, Michio Takeda, Kazuhisa Tanaka, Kuniya Nakayama, Takashi Endo, Itaru Case Report A 61-year-old female underwent right hemihepatectomy and caudate lobectomy for hilar cholangiocarcinoma in 1999. Ten years later, increasing serum carbohydrate 19-9 was detected by routine follow-up. Subsequent positron emission tomography revealed an asymptomatic lesion in the right 11th rib. As the mass steadily grew in size, the lesion was resected en bloc with the affected rib and muscle. The histopathological findings closely resembled those of the primary cholangiocarcinoma. Thus, the tumor was diagnosed as a metastatic recurrence 10 years after resection of the primary tumor. There have been a few reports of cholangiocarcinoma recurrence in long-term survivors at the surgical margins, peritoneum, or transhepatic drainage route. However, there are no reports of solitary extra-abdominal recurrence. This case highlights the need for careful follow-up of patients with cholangiocarcinoma and nodal metastasis, even in the absence of recurrence for >5 years after curative resection. Springer Japan 2013-11-08 2013 /pmc/articles/PMC3851936/ /pubmed/24319501 http://dx.doi.org/10.1007/s12328-013-0432-8 Text en © The Author(s) 2013 Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Ota, Yohei Matsuyama, Ryusei Taniguchi, Koichi Ueda, Michio Takeda, Kazuhisa Tanaka, Kuniya Nakayama, Takashi Endo, Itaru
spellingShingle	Ota, Yohei Matsuyama, Ryusei Taniguchi, Koichi Ueda, Michio Takeda, Kazuhisa Tanaka, Kuniya Nakayama, Takashi Endo, Itaru Solitary rib recurrence of hilar cholangiocarcinoma 10 years after resection: report of a case
author_facet	Ota, Yohei Matsuyama, Ryusei Taniguchi, Koichi Ueda, Michio Takeda, Kazuhisa Tanaka, Kuniya Nakayama, Takashi Endo, Itaru
author_sort	Ota, Yohei
title	Solitary rib recurrence of hilar cholangiocarcinoma 10 years after resection: report of a case
title_short	Solitary rib recurrence of hilar cholangiocarcinoma 10 years after resection: report of a case
title_full	Solitary rib recurrence of hilar cholangiocarcinoma 10 years after resection: report of a case
title_fullStr	Solitary rib recurrence of hilar cholangiocarcinoma 10 years after resection: report of a case
title_full_unstemmed	Solitary rib recurrence of hilar cholangiocarcinoma 10 years after resection: report of a case
title_sort	solitary rib recurrence of hilar cholangiocarcinoma 10 years after resection: report of a case
description	A 61-year-old female underwent right hemihepatectomy and caudate lobectomy for hilar cholangiocarcinoma in 1999. Ten years later, increasing serum carbohydrate 19-9 was detected by routine follow-up. Subsequent positron emission tomography revealed an asymptomatic lesion in the right 11th rib. As the mass steadily grew in size, the lesion was resected en bloc with the affected rib and muscle. The histopathological findings closely resembled those of the primary cholangiocarcinoma. Thus, the tumor was diagnosed as a metastatic recurrence 10 years after resection of the primary tumor. There have been a few reports of cholangiocarcinoma recurrence in long-term survivors at the surgical margins, peritoneum, or transhepatic drainage route. However, there are no reports of solitary extra-abdominal recurrence. This case highlights the need for careful follow-up of patients with cholangiocarcinoma and nodal metastasis, even in the absence of recurrence for >5 years after curative resection.
publisher	Springer Japan
publishDate	2013
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3851936/
_version_	1612034855684538368

Solitary rib recurrence of hilar cholangiocarcinoma 10 years after resection: report of a case

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