Cystic Duct Adenocarcinoma: A Case Report and Review of Literature

Abstract

Cystic duct adenocarcinoma is a rare tumour arising from biliary epithelium. It may occur anywhere in the biliary tree. Many patients come in advanced stages, however surgical resection is the only chance offered for cure.A 35 year old female presented with obstructivejaundice along with intense itching all over body, at the surgical OPD. On examination gall bladder was palpable.Her USG abdomen and pelvis was suggestive of obstructive jaundice due to cystic duct adenocarcinoma and CT scan was suggestive of dilated intrahepatic biliary radicals with possibility of stricture at cystic bile duct.Patient had undergone open cholecystectomy with lymph node biopsy for the same.Patient was discharged after 16 days and was advised to follow up in OPD.The disease is usually seen in old aged people between 50 and 70 years of age.The male:female ratio is 1.3:1.The risk factors include choledochal cyst,hepatolithiasis and biliary tract infections.The purpose of presenting this case report is rarety of disease now a days and recent medical and surgical treatment needed for this rare disease and it can be properly diagnosed by imaging studies such as CT(computed tomography),MRCP(magnetic resonance cholangio-pancreatography),ERCP(endoscopic retrograde cholangio-pancreatography). Our case advocates the role of postoperative radiotherapy.

Keywords: Cystic duct adenocarcinoma, tumour, biliary epithelium, hepatolithiasis