naa a22 4500 510813658 CHVBK 20180411083454.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s12328-013-0432-8 doi (NATIONALLICENCE)springer-10.1007/s12328-013-0432-8 Solitary rib recurrence of hilar cholangiocarcinoma 10years after resection: report of a case [Elektronische Daten] [Yohei Ota, Ryusei Matsuyama, Koichi Taniguchi, Michio Ueda, Kazuhisa Takeda, Kuniya Tanaka, Takashi Nakayama, Itaru Endo] Abstract : A 61-year-old female underwent right hemihepatectomy and caudate lobectomy for hilar cholangiocarcinoma in 1999. Ten years later, increasing serum carbohydrate 19-9 was detected by routine follow-up. Subsequent positron emission tomography revealed an asymptomatic lesion in the right 11th rib. As the mass steadily grew in size, the lesion was resected en bloc with the affected rib and muscle. The histopathological findings closely resembled those of the primary cholangiocarcinoma. Thus, the tumor was diagnosed as a metastatic recurrence 10years after resection of the primary tumor. There have been a few reports of cholangiocarcinoma recurrence in long-term survivors at the surgical margins, peritoneum, or transhepatic drainage route. However, there are no reports of solitary extra-abdominal recurrence. This case highlights the need for careful follow-up of patients with cholangiocarcinoma and nodal metastasis, even in the absence of recurrence for >5years after curative resection. The Author(s), 2013 Cholangiocarcinoma nationallicence Long-term survivor nationallicence Rib recurrence nationallicence Positron emission tomography nationallicence Carbohydrate antigen 19-9 nationallicence Ota Yohei Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, 236-0004, Yokohama, Japan aut Matsuyama Ryusei Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, 236-0004, Yokohama, Japan aut Taniguchi Koichi Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, 236-0004, Yokohama, Japan aut Ueda Michio Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, 236-0004, Yokohama, Japan aut Takeda Kazuhisa Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, 236-0004, Yokohama, Japan aut Tanaka Kuniya Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, 236-0004, Yokohama, Japan aut Nakayama Takashi Pathological Department, Yokohama City University Graduate School of Medicine, Yokohama, Japan aut Endo Itaru Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, 236-0004, Yokohama, Japan aut Clinical Journal of Gastroenterology Springer Japan 6/6(2013-12-01), 485-489 1865-7257 6:6<485 2013 6 12328 https://doi.org/10.1007/s12328-013-0432-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12328-013-0432-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ota Yohei Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, 236-0004, Yokohama, Japan aut NATIONALLICENCE 700 1- Matsuyama Ryusei Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, 236-0004, Yokohama, Japan aut NATIONALLICENCE 700 1- Taniguchi Koichi Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, 236-0004, Yokohama, Japan aut NATIONALLICENCE 700 1- Ueda Michio Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, 236-0004, Yokohama, Japan aut NATIONALLICENCE 700 1- Takeda Kazuhisa Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, 236-0004, Yokohama, Japan aut NATIONALLICENCE 700 1- Tanaka Kuniya Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, 236-0004, Yokohama, Japan aut NATIONALLICENCE 700 1- Nakayama Takashi Pathological Department, Yokohama City University Graduate School of Medicine, Yokohama, Japan aut NATIONALLICENCE 700 1- Endo Itaru Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, 236-0004, Yokohama, Japan aut NATIONALLICENCE 773 0- Clinical Journal of Gastroenterology Springer Japan 6/6(2013-12-01), 485-489 1865-7257 6:6<485 2013 6 12328 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer