Colorectal Liver Metastasis With Intrabiliary Growth: Case Report and Review of the Literature

被引：6

作者：

Coppola, Sara ^{[1
]}

Zucchini, Nicola ^{[1
]}

Romano, Fabrizio ^{[1
]}

Bovo, Giorgio ^{[1
]}

Gilardoni, Elisa ^{[1
]}

Nespoli, Luca ^{[1
]}

Gianotti, Luca ^{[1
]}

机构：

[1] Milano Bicocca Univ, San Gerardo Hosp, I-20900 Monza, Italy

来源：

INTERNATIONAL JOURNAL OF SURGICAL PATHOLOGY | 2014年 / 22卷 / 03期

关键词：

liver; metastasis; colorectal cancer; intrabiliary growth; surgery; hepatectomy; COLONIC ADENOCARCINOMA; HEPATIC RESECTION; FOLLOW-UP; CANCER; CHOLANGIOCARCINOMA; SURGERY; HEPATECTOMY; GUIDELINES; EXTENSION; NEOPLASIA;

D O I：

10.1177/1066896913491317

中图分类号：

R36 [病理学];

学科分类号：

100104 ;

摘要：

Colorectal liver metastases with intrabiliary growth are uncommon and difficult to characterize by radiology alone. We present the case of a 61-year-old woman previously operated on for a left colon cancer who developed a metacronous lesion at liver segment II-III. Radiologic workup was indicative for cholangiocarcinoma. Thus, the patient underwent an anatomical left lateral hepatectomy. Pathology showed instead a colorectal metastases with intrabiliary growth. We suggest that in cases of radiological uncertainty between an intrabiliary growth metastasis and a cholangiocarcinoma, the correct surgical strategy should always be an anatomical liver resection without preoperative biopsy because it would not change the operative planning and instead it may increase the risk of dissemination.

引用

页码：272 / 279

页数：8

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