E. Letessier et al., METASTATIC CARCINOMA OF THE COMMON BILE-D UCT FROM RENAL-CELL CANCER PRESENTING AS AN INTRALUMINAL POLYPOID MASS, Annales de chirurgie, 48(2), 1994, pp. 201-205
The authors report the second case to date of metastatic carcinoma of
the common bile-duct from renal cell cancer presenting as an intralumi
nal polypoid mass. Obstructive jaundice developed in a 55-year old wom
an 14 years after nephrectomy for renal cell carcinomma. The diagnosis
of polypoid tumor of the common bile-duct was established by sonograp
hy, endoscopic retrograde cholangiopancreatography and CT-scan. Pallia
tive resection was performed. Postoperative histological examination r
evealed the resected tumor to be identical to the clear cell type of r
enal cell carcinoma. The postoperative course was marked by the develo
pment of distant metastases 6 months later. Diagnosis and therapeutic
features of metastatic malignant biliary obstruction are discussed.