@entity201 at the choledochoduodenal @entity254 site is a rare complication. Our 71-years-old female @entity1 developed an @entity420 38 years after cholecystectomy and choledochoduodenal @entity254 . During the previous two years she suffered from recurrent episodes of @entity255 and @entity1087 . Multiple endoscopically obtained biopsies from a suspicious area at the @entity254 showed a @entity652 . With a CA19-9 of 2,429 U/l laparotomy was performed with radical removal of the choledochoduodenostomy and the extrahepatic bile ducts and reconstruction with hepaticojejunostomy. The histological examination revealed a poorly differentiated, partly solid, partly tubular @entity420 of the choledochal duct with @entity3 of the lymph nodes in the hepatoduodenal ligament. According to the UICC staging system the @entity5 was pT2, G3, @entity3121 classified as stage III. Two months later the @entity1 developed a peritoneal carcinosis with a CA19-9 of 15,050 U/l and died. The development of @entity201 may be caused by @entity102 , which may arise from several diseases of the bile ducts like @entity2941 , @entity991 or reflux of duodenal contents like in choledochoduodenal anastomoses. Because of the heterogeneity inside the lesions a malignant lesion can only be excluded by histopathological examination of the whole @entity5 .

[Bile duct carcinoma in an XXXX in the anastomotic area after hepaticojejunostomy--a case report].

@entity1 :: ('9606', 'Species') :: ['patient'] @entity1087 :: ('MESH:D007565', 'Disease') :: ['jaundice'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity2941 :: ('MESH:D015529', 'Disease') :: ['choledochal cysts'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity991 :: ('MESH:D015209', 'Disease') :: ['primary sclerosing cholangitis'] @entity102 :: ('MESH:D002908', 'Disease') :: ['chronic cholangitis'] @entity3121 :: ('5270', 'Gene') :: ['pN1'] @entity201 :: ('MESH:D018281', 'Disease') :: ['cholangiocarcinoma', 'Cholangiocarcinoma'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis'] @entity652 :: ('MESH:D000236', 'Disease') :: ['tubular adenoma'] @entity420 :: ('MESH:D000230', 'Disease') :: ['adenocarcinoma'] @entity255 :: ('MESH:D002761', 'Disease') :: ['cholangitis']
@entity652 :: (MESH:D000236,Disease) :: ['adenoma']
