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  • Title: Metastatic common bile duct cancer from pulmonary adenocarcinoma presenting as obstructive jaundice.
    Author: Cha IH, Kim JN, Kim YS, Ryu SH, Moon JS, Lee HK.
    Journal: Korean J Gastroenterol; 2013 Jan 25; 61(1):50-3. PubMed ID: 23354351.
    Abstract:
    We report an extremely rare case of metastatic common bile duct cancer from pulmonary adenocarcinoma presenting as obstructive jaundice. The patient was a 76-year-old male, who presented with generalized weakness and right upper quadrant pain. Plain chest X-ray noted multiple small nodules in both lung fields. Abdominal computed tomography scan showed a stricture of the mid common bile duct along with ductal wall enhancement. Endoscopic retrograde cholangiography revealed a concentric, abrupt narrowing of the mid-common bile duct suggestive of primary bile duct cancer. However, pathology comfirmed metastatic common bile duct cancer arising from pulmonary adenocarcinoma with immunohistochemical study with thyroid transcriptional factor-1 (TTF-1).
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