Document Detail


Development of intrahepatic cholangiocarcinoma after a 14-year follow-up of a patient with primary sclerosing cholangitis and ulcerative colitis.
MedLine Citation:
PMID:  22118304     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Intrahepatic cholangiocarcinoma (ICC) is one of the life-threatening complications of primary sclerosing cholangitis (PSC). However, the incidence of ICC in Japanese PSC patients is low, and the association between the development of ICC and morbidity duration of PSC is largely unknown. Here, we describe a case of ICC that developed after a long-term follow-up of a patient with PSC and ulcerative colitis (UC). At the age of 10 years, the patient was first diagnosed with UC and its remission was achieved with systemic steroid therapy. Since then, he was routinely followed-up. At the age of 19 years, laboratory tests showed abnormalities in liver function parameters, and the patient was diagnosed with PSC. Although treatment with ursodeoxycholic acid improved the abnormalities in serum levels of biliary enzymes and no PSC-related symptoms were seen for 13 years, calculous cholecystitis frequently occurred in the patient since the age of 32 years. He developed ICC, which expressed some hepatic progenitor cell markers such as CD133, neural cell adhesion molecule, keratin 7, and keratin 19 at the age of 33 years. ICC was treated by curative partial hepatectomy and adjuvant chemotherapy with gemcitabine. Eight months later, however, the patient developed multiple metastases in the abdominal lymph nodes and lungs, and died 21 months after the onset of ICC. Here, we report a case of ICC that developed after a 14-year follow-up of a patient with PSC and UC.
Authors:
Takumi Kawaguchi; Ryohei Kaji; Hiroyuki Horiuchi; Tomotake Shirono; Yusuke Ishida; Yoshinobu Okabe; Minoru Itou; Keiichi Mitsuyama; Jun Akiba; Osamu Nakashima; Hirohisa Yano; Masayoshi Kage; Masaru Harada; Shotaro Sakisaka; Michio Sata
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Hepatology research : the official journal of the Japan Society of Hepatology     Volume:  41     ISSN:  1386-6346     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-11-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9711801     Medline TA:  Hepatol Res     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1253-1259     Citation Subset:  -    
Copyright Information:
© 2011 The Japan Society of Hepatology.
Affiliation:
Department of Digestive Disease Information & Research Medicine Surgery Pathology, Kurume University School of Medicine Department of Diagnostic Pathology, Kurume University Hospital, Kurume Digestive Disease Center, Asakura Medical Association Hospital, Asakura Third Department of Internal Medicine, University of Occupational and Environmental Health, Japan, School of Medicine, Kitakyusyu Department of Gastroenterology and Medicine, Fukuoka University Faculty of Medicine, Fukuoka, Japan.
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