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Radiological findings and surgical outcomes of pulmonary metastases originating from biliary tract carcinoma
http://hdl.handle.net/2237/00031188
http://hdl.handle.net/2237/0003118864f886ba-a957-481f-8bbb-db2a14ed83ed
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Kawaguchi2019_Article_RadiologicalFindingsAndSurgica (171.3 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2020-01-15 | |||||
タイトル | ||||||
タイトル | Radiological findings and surgical outcomes of pulmonary metastases originating from biliary tract carcinoma | |||||
言語 | en | |||||
著者 |
Kawaguchi, Koji
× Kawaguchi, Koji× Taniguchi, Tetsuo× Fukui, Takayuki× Nakamura, Shota× Yokoi, Kohei |
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アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
権利 | ||||||
言語 | en | |||||
権利情報 | “This is a post-peer-review, pre-copyedit version of an article published in [General Thoracic and Cardiovascular Surgery]. The final authenticated version is available online at: http://dx.doi.org/10.1007/s11748-019-01122-6”. | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Biliary tract carcinoma | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Computed tomography | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Pulmonary metastases | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Metastasectomy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Radiological findings | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Purpose: Metastasis to the lungs arising from biliary tract carcinoma (BTC) is extremely rare, and the patient characteristics and prognosis are not well known. We aimed to identify the imaging findings of pulmonary metastases originating from BTC and the eligible indications for surgical treatment. Methods: Fifteen patients who underwent pulmonary resection for metastases originating from BTC were retrospectively analyzed. Results: The primary sites included cholangiocarcinoma (n = 12) and gallbladder carcinoma (n = 3), and all cases were histologically diagnosed as well to moderately differentiated adenocarcinomas. The median disease-free interval between resection for the primary site and the detection of pulmonary metastasis was 30 months (range 0–144 months). Nine patients had a single lesion, and six had multiple lesions. As features of pulmonary lesions on thin-section computed tomography (CT), many appeared as solid nodules with smooth margins, whereas six lesions were concomitant with spiculation or pleural indentation, three with air bronchogram or ground-glass attenuation, and one with intra-tumoral cavity, and six cases with solitary pulmonary lesion were diagnosed as primary lung cancer before metastasectomy. The 3-year survival rate in the 11 patients who underwent complete metastasectomy was 45%. A disease-free interval of more than 3 years (p = 0.03) and single lesion (p < 0.01) were significant prognostic factors. Conclusions: The CT findings of pulmonary metastases from BTCs sometimes resemble the characteristic findings of primary lung cancer. A long disease-free interval and single lesion are therefore considered to be good surgical indicators. | |||||
言語 | en | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | ファイル公開:2020/11/01 | |||||
言語 | ja | |||||
出版者 | ||||||
出版者 | Springer | |||||
言語 | en | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
出版タイプ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1007/s11748-019-01122-6 | |||||
ISSN(print) | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 1863-6705 | |||||
書誌情報 |
en : General Thoracic and Cardiovascular Surgery 巻 67, 号 11, p. 962-968, 発行日 2019-11 |
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著者版フラグ | ||||||
値 | author |