Year 2023 / Volume 115 / Number 11
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Intrabiliary metastasis of colorectal adenocarcinoma: the SPY perspective

644-645

DOI: 10.17235/reed.2022.9202/2022

Ana Carvalho, Marta Moreira, Luís Lopes,

Abstract
We report a case of a 54-year-old female that underwent sigmoidectomy for stage IIA adenocarcinoma. After 5 years of follow-up, despite normal colonoscopy and CEA and CA-19.9 levels, abdominal CT revealed a 3 cm perianastomotic peritoneal lesion and suspected liver metastasis. Although liver biopsy was negative for malignancy, the perianastomotic lesion was confirmed to be metastasis of colonic adenocarcinoma. After chemotherapy, a mild elevation of alkaline phosphatase and γ-GT was evident. MRCP revealed dilation of intrahepatic bile ducts in segment VIII due to an intraluminal lesion in the right hepatic duct, suggestive of intraductal cholangiocarcinoma.
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References
1. Kawashima K, Watanabe N, Tawada S, Adachi T, Yamada M, Kitoh Y, et al. Intrahepatic Biliary Metastasis of Colonic Adenocarcinoma: A Case Report With Immunohistochemical Analysis. World J Oncol. 2017;8(3):86.
2. Sasaki S, Nomura Y, Fukutomi S, Shirahama N, Kusano H, Akiba J, et al. Intrabiliary growth type of metastasis from colon cancer, 12 years after curative colectomy: A case report. BMC Surg. 2019 Jan 18;19(1):1–9.
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Carvalho A, Moreira M, Lopes L. Intrabiliary metastasis of colorectal adenocarcinoma: the SPY perspective. 9202/2022


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Publication history

Received: 12/09/2022

Accepted: 03/10/2022

Online First: 20/10/2022

Published: 13/11/2023

Article revision time: 12 days

Article Online First time: 38 days

Article editing time: 427 days


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