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Surgical treatment for metastasis from lymphoepithelioma-like cholangiocarcinoma in the liver: A case report.

Abstract Lymphoepithelioma-like cholangiocarcinoma (LEL-CC) is a rare variant of intrahepatic cholangiocarcinoma (ICC), which is characterized by the better outcome than normal ICC. There is no report about the treatment for the metastasis of the LEL-CC. Here, we describe a rare case of LEL-CC of the liver and report the treatment for metastasis of it.
PMID
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Authors

Mayor MeshTerms

Lymph Node Excision

Keywords
Journal Title medicine
Publication Year Start




PMID- 29742707
OWN - NLM
STAT- MEDLINE
DCOM- 20180516
LR  - 20180516
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 19
DP  - 2018 May
TI  - Surgical treatment for metastasis from lymphoepithelioma-like cholangiocarcinoma 
      in the liver: A case report.
PG  - e0666
LID - 10.1097/MD.0000000000010666 [doi]
AB  - RATIONALE: Lymphoepithelioma-like cholangiocarcinoma (LEL-CC) is a rare variant
      of intrahepatic cholangiocarcinoma (ICC), which is characterized by the better
      outcome than normal ICC. There is no report about the treatment for the
      metastasis of the LEL-CC. Here, we describe a rare case of LEL-CC of the liver
      and report the treatment for metastasis of it. PATIENT CONCERNS: A 38-year-old
      woman with a chronic hepatitis B infection was referred to the department of
      liver surgery in our hospital with a mass in the liver. DIAGNOSES: A past
      ultrasound examination had revealed a 28 mm x 16 mm nodular lesion in the right
      posterior lobe of the liver in May 2013. She had undergone partial resection of
      the thyroid gland for papillary carcinoma 1 year earlier. INTERVENTION:
      Suspicious of the metastasis from thyroid cancer, she underwent surgery with
      liver segmentectomy. The pathologic diagnosis of the lesion was LEL-CC. After
      surgery, she regularly got checked in our hospital, and in the 6 months after
      surgery, there was enlargement of lymph node before the inferior vena cava in CT.
      The doctor did not detect the enlargement of the lymph node until June 2017. The 
      PET-CT was done in June of 2017, which showed the lymph node was hypermetabolic. 
      OUTCOMES: The patient got her second surgery for lymph node three years after the
      first surgery, which was proved that the lymph node was metastasis from LEL-CC.
      The patient was free from recurrence 9 months after surgery. LESSONS: We report
      the first case of surgery for metastasis from LEL-CC in the liver that was
      diagnosed 3 years after hepatectomy. Our findings suggest that surgery could be
      an effective way of treating lymph node metastasis of LEL-CC and early PET-CT can
      help to identify metastasis.
FAU - Zhang, Jun-Wei
AU  - Zhang JW
AD  - Department of Liver Surgery.
FAU - Yang, Hua-Yu
AU  - Yang HY
AD  - Department of Liver Surgery.
FAU - Xu, Yi-Yao
AU  - Xu YY
AD  - Department of Liver Surgery.
FAU - Sang, Xin-Ting
AU  - Sang XT
AD  - Department of Liver Surgery.
FAU - Yu, Shuang-Ni
AU  - Yu SN
AD  - Department of Pathology, Peking Union Medical College (PUMC) Hospital, Chinese
      Academy of Medical Sciences & PUMC, Beijing, China.
FAU - Huang, Han-Chun
AU  - Huang HC
AD  - Department of Liver Surgery.
FAU - Bian, Jin
AU  - Bian J
AD  - Department of Liver Surgery.
FAU - Xiong, Jian-Ping
AU  - Xiong JP
AD  - Department of Liver Surgery.
FAU - Lu, Xin
AU  - Lu X
AD  - Department of Liver Surgery.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Cholangiocarcinoma/complications/*pathology/*surgery
MH  - Delayed Diagnosis
MH  - Female
MH  - Hepatectomy
MH  - Hepatitis B, Chronic/complications
MH  - Humans
MH  - Liver Neoplasms/complications/*pathology/*surgery
MH  - *Lymph Node Excision
MH  - Lymphatic Metastasis/*diagnostic imaging
MH  - Positron Emission Tomography Computed Tomography
EDAT- 2018/05/10 06:00
MHDA- 2018/05/17 06:00
CRDT- 2018/05/10 06:00
PHST- 2018/05/10 06:00 [entrez]
PHST- 2018/05/10 06:00 [pubmed]
PHST- 2018/05/17 06:00 [medline]
AID - 10.1097/MD.0000000000010666 [doi]
AID - 00005792-201805110-00026 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 May;97(19):e0666. doi: 10.1097/MD.0000000000010666.