• Internal medicine · Jun 2023

    Case Reports

    A Preoperative Diagnosis of Advanced Cystic Duct Carcinoma Using SpyGlass DS Cholangioscopy: A Report of Two Cases.

    • Hisanori Matsuzawa, Takashi Goto, Tomomi Shibuya, Wataru Sato, Mitsuru Chiba, Kenichi Takahashi, Shinichiro Minami, Yuki Sato, and Katsunori Iijima.
    • Department of Gastroenterology, Graduate School of Medicine, Akita University, Japan.
    • Intern. Med. 2023 Jun 1; 62 (11): 161716231617-1623.

    AbstractPrimary cystic duct carcinoma is a rare tumor. The curative treatment of cystic duct carcinoma is complete surgical resection, for which the evaluation of local extension is important. We herein report two cases of cystic duct carcinoma in which a preoperative examination was performed using per-oral cholangioscopy (POCS). Both patients underwent POCS due to suspicion of cystic duct carcinoma based on imaging findings. A visual analysis and biopsy were performed to evaluate local extension, which led to surgery. These cases suggest that POCS is useful for the preoperative assessment of local extension in advanced cystic duct carcinoma.

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