Intrabile duct metastasis from colonic adenocarcinoma without liver parenchyma involvement: Contrast enhanced ultrasonography detection

Research output: Contribution to journalArticle

Abstract

It is well-known that biliary duct invasion with intraluminal growth is one of the developmental patterns of primary liver tumors, and macroscopic intrabiliary growth of liver metastases in colorectal cancer is found with high frequency. Surgical treatment is the only potential curative therapy. However, many patients die of intrahepatic and/or extrahepatic recurrence after the resection. One of the causes of high recurrence rate after resective surgery, particularly surgical margin recurrences, is the invasion of biliary ducts mainly due to intraluminal tumor growth. We describe the first recorded case of a metastasis from colorectal cancer involving solely the common hepatic biliary duct, without invasion of contiguous liver parenchyma. A correct diagnosis was obtained by means of contrast enhanced ultrasound and ultrasound-guided fine needle aspiration biopsy.

Original languageEnglish
Pages (from-to)346-348
Number of pages3
JournalAbdominal Imaging
Volume35
Issue number3
DOIs
Publication statusPublished - Jun 2010

Fingerprint

Ultrasonography
Adenocarcinoma
Neoplasm Metastasis
Recurrence
Colorectal Neoplasms
Liver
Growth
Common Hepatic Duct
Fine Needle Biopsy
Neoplasms
Therapeutics
Margins of Excision

Keywords

  • Colorectal cancer
  • Contrast enhanced ultrasound
  • Intrabiliary metastases

ASJC Scopus subject areas

  • Gastroenterology
  • Urology
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology
  • Medicine(all)

Cite this

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abstract = "It is well-known that biliary duct invasion with intraluminal growth is one of the developmental patterns of primary liver tumors, and macroscopic intrabiliary growth of liver metastases in colorectal cancer is found with high frequency. Surgical treatment is the only potential curative therapy. However, many patients die of intrahepatic and/or extrahepatic recurrence after the resection. One of the causes of high recurrence rate after resective surgery, particularly surgical margin recurrences, is the invasion of biliary ducts mainly due to intraluminal tumor growth. We describe the first recorded case of a metastasis from colorectal cancer involving solely the common hepatic biliary duct, without invasion of contiguous liver parenchyma. A correct diagnosis was obtained by means of contrast enhanced ultrasound and ultrasound-guided fine needle aspiration biopsy.",
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T1 - Intrabile duct metastasis from colonic adenocarcinoma without liver parenchyma involvement

T2 - Contrast enhanced ultrasonography detection

AU - Ghittoni, Giorgia

AU - Caturelli, Eugenio

AU - Viera, Francesca Torello

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AB - It is well-known that biliary duct invasion with intraluminal growth is one of the developmental patterns of primary liver tumors, and macroscopic intrabiliary growth of liver metastases in colorectal cancer is found with high frequency. Surgical treatment is the only potential curative therapy. However, many patients die of intrahepatic and/or extrahepatic recurrence after the resection. One of the causes of high recurrence rate after resective surgery, particularly surgical margin recurrences, is the invasion of biliary ducts mainly due to intraluminal tumor growth. We describe the first recorded case of a metastasis from colorectal cancer involving solely the common hepatic biliary duct, without invasion of contiguous liver parenchyma. A correct diagnosis was obtained by means of contrast enhanced ultrasound and ultrasound-guided fine needle aspiration biopsy.

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