[Bile duct carcinoma after abdominal irradiation for urologic malignancies]

Helv Chir Acta. 1994 Dec;60(6):1131-6.
[Article in German]

Abstract

Malignancies of the biliary tract are rare diseases. Tumor inductions after radiotherapy are reported in several papers. We report about 3 cases with consecutive biliary tract carcinoma 18-32 years after manifestation of an urogenital carcinoma. All 3 patients (52-63 years) were treated with additive radiotherapy after surgical-urological therapy. Icterus was the top-ranging symptom of this secondary carcinoma. In 2 of the 3 cases surgical tumor resection was performed (biliary duct resection with central liver resection; pancreatico-duodenectomy). Because of the bad general condition of health the third patient got only a biopsy of the tumor. All patients died within 2 years after diagnosis. The accidental accumulation of the rare biliary tract carcinoma after urogenital malignancies in our collection of clinical cases (2 seminoma; 1 bladder tumor) give rise the question about the causal association between primary carcinoma, additive therapy and the development of secondary carcinoma.

Publication types

  • English Abstract

MeSH terms

  • Adenocarcinoma / pathology
  • Adenocarcinoma / surgery
  • Adenocarcinoma, Mucinous / pathology
  • Adenocarcinoma, Mucinous / surgery
  • Aged
  • Bile Duct Neoplasms / pathology
  • Bile Duct Neoplasms / surgery*
  • Combined Modality Therapy
  • Common Bile Duct Neoplasms / pathology
  • Common Bile Duct Neoplasms / surgery
  • Cystectomy
  • Hepatic Duct, Common / pathology
  • Hepatic Duct, Common / surgery
  • Humans
  • Male
  • Middle Aged
  • Neoplasms, Radiation-Induced / pathology
  • Neoplasms, Radiation-Induced / surgery*
  • Neoplasms, Second Primary / pathology
  • Neoplasms, Second Primary / surgery*
  • Orchiectomy
  • Pancreaticoduodenectomy
  • Radiotherapy, Adjuvant
  • Reoperation
  • Seminoma / radiotherapy*
  • Seminoma / surgery
  • Testicular Neoplasms / radiotherapy*
  • Testicular Neoplasms / surgery
  • Urinary Bladder Neoplasms / radiotherapy*
  • Urinary Bladder Neoplasms / surgery