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We report a 83-year-old female with bile duct cancer who underwent subtotal stomach preserving pancreatoduodenectomy. Pathologically, her tumor was diagnosed as adenosquamous carcinoma of the lower extrahepatic bile duct with final stage IVb[pT3pN3M(-)].The prognosis of patients with adenosquamous carcinoma of the bile duct is very poor, and the reason is thought to be its tendency to invade the pancreas.Although she was an aged patient, we performed adjuvant chemotherapy using gemcitabine.No recurrence has occurred until this day, 30 months after the operation.This is thought to be an effect of the adjuvant chemotherapy, considering its poor prognosis.

Citation

Hideki Aoki, Takashi Kanazawa, Yuko Fujiwara, Toshiaki Morihiro, Kiyoto Takehara, Masayuki Seita, Toshiaki Ohara, Takashi Arata, Hitoshi Nakagawa, Koji Tanakaya, Hitoshi Takeuchi. A case of adenosquamous carcinoma of lower extrahepatic bile duct]. Gan to kagaku ryoho. Cancer & chemotherapy. 2012 Jan;39(1):131-3

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PMID: 22241368

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