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Synchronous Double Bile Duct Cancers with Distinct Genetic Features

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Journal Intern Med
Specialty General Medicine
Date 2020 Jun 5
PMID 32493852
Citations 1
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Abstract

A 69-year-old man was referred to our hospital because of appetite loss. Imaging showed a nodular tumor in the perihilar bile duct and a second flat lesion in the distal bile duct. Right hepatopancreaticoduodenectomy was performed, and the histopathological findings demonstrated that the perihilar and distal lesions were moderately and poorly differentiated adenocarcinoma, respectively, and anatomically separated. Furthermore, the resected specimens showed no pancreaticobiliary maljunction. Histological and TP53 gene analyses in a rare case of synchronous double bile duct cancers suggest that there are various genetic pathways through which bile duct cancer develops, highlighting the complexity of its pathogenesis.

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References
1.
Zen Y, Aishima S, Ajioka Y, Haratake J, Kage M, Kondo F . Proposal of histological criteria for intraepithelial atypical/proliferative biliary epithelial lesions of the bile duct in hepatolithiasis with respect to cholangiocarcinoma: preliminary report based on interobserver agreement. Pathol Int. 2005; 55(4):180-8. DOI: 10.1111/j.1440-1827.2005.01816.x. View

2.
Bertorelle R, Esposito G, Belluco C, Bonaldi L, Del Mistro A, Nitti D . p53 gene alterations and protein accumulation in colorectal cancer. Clin Mol Pathol. 1996; 49(2):M85-90. PMC: 408027. DOI: 10.1136/mp.49.2.m85. View

3.
Wong P, Verselis S, Garber J, Schneider K, DiGianni L, Stockwell D . Prevalence of early onset colorectal cancer in 397 patients with classic Li-Fraumeni syndrome. Gastroenterology. 2006; 130(1):73-9. DOI: 10.1053/j.gastro.2005.10.014. View

4.
Hruban R, Takaori K, Klimstra D, Adsay N, Albores-Saavedra J, Biankin A . An illustrated consensus on the classification of pancreatic intraepithelial neoplasia and intraductal papillary mucinous neoplasms. Am J Surg Pathol. 2004; 28(8):977-87. DOI: 10.1097/01.pas.0000126675.59108.80. View

5.
Nakanuma Y, Sasaki M, Sato Y, Ren X, Ikeda H, Harada K . Multistep carcinogenesis of perihilar cholangiocarcinoma arising in the intrahepatic large bile ducts. World J Hepatol. 2010; 1(1):35-42. PMC: 2999259. DOI: 10.4254/wjh.v1.i1.35. View