Akabane S, Ban T, Kouriki S, Tanemura H, Nakazaki H, Nakano M, Shinozaki N. Successful surgical resection of ruptured cholangiolocellular carcinoma: A rare case of a primary hepatic tumor. World J Hepatol 2017; 9(16): 752-756 [PMID: 28652894 DOI: 10.4254/wjh.v9.i16.752]
Corresponding Author of This Article
Shota Akabane, MD, Department of Surgery, Shonan Fujisawa Tokushukai Hospital, 1-5-1 Kandai Tsujido, Fujisawa City, Kanagawa 251-0041, Japan. akap.sh.3381@gmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Shota Akabane, Takushiro Ban, Shunsaku Kouriki, Hiroyuki Tanemura, Haruhiro Nakazaki, Nobuaki Shinozaki, Department of Surgery, Shonan Fujisawa Tokushukai Hospital, Fujisawa City, Kanagawa 251-0041, Japan
Masayuki Nakano, Department of Diagnostic Pathology, Shonan Fujisawa Tokushukai Hospital, Fujisawa City, Kanagawa 251-0041, Japan
Author contributions: All authors contributed to the acquisition of the data and to the writing and revision of this manuscript.
Institutional review board statement: This case report was reviewed and approved by Shonan Fujisawa Tokushukai Hospital Institutional Review Board.
Informed consent statement: The patient has provided informed consent for the publication of this case report and accompanying images.
Conflict-of-interest statement: The authors declare that they have no competing interests.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Shota Akabane, MD, Department of Surgery, Shonan Fujisawa Tokushukai Hospital, 1-5-1 Kandai Tsujido, Fujisawa City, Kanagawa 251-0041, Japan. akap.sh.3381@gmail.com
Telephone: +81-80-34641295 Fax: +81-426-745266
Received: January 17, 2017 Peer-review started: January 19, 2017 First decision: March 8, 2017 Revised: April 3, 2017 Accepted: April 23, 2017 Article in press: April 24, 2017 Published online: June 8, 2017 Processing time: 139 Days and 3 Hours
Abstract
Spontaneous rupture is one of the most fatal complications of hepatic tumors such as hepatocellular carcinoma. In fact, many studies have shown that the in-hospital and 30-d mortality rates are as high as 25%-100%. Cholangiolocellular carcinoma (CoCC) is a rare primary hepatic tumor, usually small in size, that is thought to originate from the ductules and/or canals of Hering. Here, we present a case of spontaneous rupture of a CoCC that was successfully resected by radical surgery. Although CoCC is a rare primary hepatic tumor, it demonstrates certain specific clinical features, including a better prognosis than for other primary liver cancers, and thus should be distinguished from those other cancers. Moreover, CoCC can appear as a ruptured huge tumor, and when it does, radical hepatectomy can be an effective measure to achieve both absolute hemostasis and curability of tumor.
Core tip: Spontaneous rupture is one of the most fatal complications of hepatic tumors such as hepatocellular carcinoma. Here, we present a case of spontaneous rupture of a cholangiolocellular carcinoma (CoCC) that was successfully resected by radical surgery. Although CoCC is a rare primary hepatic tumor, it demonstrates certain specific clinical features, including a better prognosis than for other primary liver cancers, and thus should be distinguished from those other cancers. Moreover, CoCC can appear as a ruptured huge tumor, and when it does, radical hepatectomy can be an effective measure to achieve both absolute hemostasis and curability of tumors.
