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- W2098366975 abstract "Metastatic lesions from colorectal cancer (CC) have been described in the common bile duct [ 1 Riopel M.A. Klimstra D.S. Godellas C.V. Blumgart L.H. Westra W.H. Intrabiliary growth of metastatic colonic adenocarcinoma: a pattern of intrahepatic spread easily confused with primary neoplasia of the biliary tract. Am J Surg Pathol. 1997; 21: 1030-1036 Crossref PubMed Scopus (72) Google Scholar , 2 Blot E. Heron F. Cardot F. Kerleau J.M. Metayer J. Michot F. et al. Villous adenoma of the common bile duct. J Clin Gastroenterol. 1996; 22: 77-79 Crossref PubMed Scopus (13) Google Scholar ], whereas their occurrence in the intrahepatic biliary tree is extremely rare. We describe the case of a 75-year-old man who underwent an anterior rectal resection for a lower third rectal adenocarcinoma at moderate degree of differentiation initially infiltrating the muscular layer but none out of the 21 examined nodes (Dukes A; Jass 1; Astler-Coller B1; T2 N0 Mx). Twenty-eight months after surgery, the patient complained abdominal pain in the right upper quadrant, mild and transient jaundice without nausea and/or vomiting and fever. Liver function tests were as follow: ALT 47 U/L; AST 57 U/L; alkaline phosphatase level 138 U/L; gamma-glutamyltransferase level 246 U/L; total bilirubin 1.76 mg/dl. Hepatitis A, B and C markers were negative. CEA level was 36.6 ng/ml (n.v.: 0.0–5.0) and Ca 19–9 Gica was 120.6 ng/ml (n.v.: 0.0–37.0)." @default.
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- W2098366975 date "2004-07-01" @default.
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- W2098366975 title "Intrabiliary metastasis from rectal cancer mimicking peripheral papillary-type cholangiocarcinoma" @default.
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- W2098366975 doi "https://doi.org/10.1016/j.jhep.2004.03.027" @default.
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