A case of resected liver metastasis from rectal cancer with bile duct stricture after radiofrequency ablation

Yohei Hosoda, Yoshito Tomimaru, Hiroshi Wada, Naoki Hama, Akira Tomokuni, Tadafumi Asaoka, Koichi Kawamoto, Shogo Kobayashi, Shigeru Marubashi, Hidetoshi Eguchi, Yuichiro Doki, Masaki Mori, Hiroaki Nagano

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Abstract

The patient was a 66-year-old woman who had undergone low anterior resection for rectal cancer. Although she received adjuvant chemotherapy after the surgery, a 1.5 cm hepatic metastasis was observed in segments 4/8. Radiofrequency ablation (RFA) was performed for the metastatic tumor. Approximately 1 month after RFA, a local recurrence was identified together with intrahepatic bile duct dilation in the right lobe of the liver. Extended right hepatic lobectomy and left intrahepatic cholangiojejunostomy were performed to remove the tumor. Histopathological examination of the resected specimen showed a liver metastasis from the rectal cancer with stricture of the bile duct although the bile duct was not involved in the tumor. This suggested that the bile duct stricture was caused by RFA and not by the recurrent tumor. Currently, the patient IS alive with no recurrence 14 months after the surgery. This case suggests the importance of salvage surgery for recurrent tumors after RFA therapy, especially in the case of RFA-related complications in conjunction with the tumor.

Original languageEnglish
Pages (from-to)2116-2118
Number of pages3
JournalJapanese Journal of Cancer and Chemotherapy
Volume41
Issue number12
Publication statusPublished - Nov 1 2014
Externally publishedYes

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Bile Duct Neoplasms
Rectal Neoplasms
Pathologic Constriction
Neoplasm Metastasis
Liver
Bile Ducts
Neoplasms
Intrahepatic Bile Ducts
Recurrence
Adjuvant Chemotherapy
Dilatation

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Hosoda, Y., Tomimaru, Y., Wada, H., Hama, N., Tomokuni, A., Asaoka, T., ... Nagano, H. (2014). A case of resected liver metastasis from rectal cancer with bile duct stricture after radiofrequency ablation. Japanese Journal of Cancer and Chemotherapy, 41(12), 2116-2118.

A case of resected liver metastasis from rectal cancer with bile duct stricture after radiofrequency ablation. / Hosoda, Yohei; Tomimaru, Yoshito; Wada, Hiroshi; Hama, Naoki; Tomokuni, Akira; Asaoka, Tadafumi; Kawamoto, Koichi; Kobayashi, Shogo; Marubashi, Shigeru; Eguchi, Hidetoshi; Doki, Yuichiro; Mori, Masaki; Nagano, Hiroaki.

In: Japanese Journal of Cancer and Chemotherapy, Vol. 41, No. 12, 01.11.2014, p. 2116-2118.

Research output: Contribution to journalArticle

Hosoda, Y, Tomimaru, Y, Wada, H, Hama, N, Tomokuni, A, Asaoka, T, Kawamoto, K, Kobayashi, S, Marubashi, S, Eguchi, H, Doki, Y, Mori, M & Nagano, H 2014, 'A case of resected liver metastasis from rectal cancer with bile duct stricture after radiofrequency ablation', Japanese Journal of Cancer and Chemotherapy, vol. 41, no. 12, pp. 2116-2118.
Hosoda, Yohei ; Tomimaru, Yoshito ; Wada, Hiroshi ; Hama, Naoki ; Tomokuni, Akira ; Asaoka, Tadafumi ; Kawamoto, Koichi ; Kobayashi, Shogo ; Marubashi, Shigeru ; Eguchi, Hidetoshi ; Doki, Yuichiro ; Mori, Masaki ; Nagano, Hiroaki. / A case of resected liver metastasis from rectal cancer with bile duct stricture after radiofrequency ablation. In: Japanese Journal of Cancer and Chemotherapy. 2014 ; Vol. 41, No. 12. pp. 2116-2118.
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AU - Asaoka, Tadafumi

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AB - The patient was a 66-year-old woman who had undergone low anterior resection for rectal cancer. Although she received adjuvant chemotherapy after the surgery, a 1.5 cm hepatic metastasis was observed in segments 4/8. Radiofrequency ablation (RFA) was performed for the metastatic tumor. Approximately 1 month after RFA, a local recurrence was identified together with intrahepatic bile duct dilation in the right lobe of the liver. Extended right hepatic lobectomy and left intrahepatic cholangiojejunostomy were performed to remove the tumor. Histopathological examination of the resected specimen showed a liver metastasis from the rectal cancer with stricture of the bile duct although the bile duct was not involved in the tumor. This suggested that the bile duct stricture was caused by RFA and not by the recurrent tumor. Currently, the patient IS alive with no recurrence 14 months after the surgery. This case suggests the importance of salvage surgery for recurrent tumors after RFA therapy, especially in the case of RFA-related complications in conjunction with the tumor.

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