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Diffuse Calcificated Infiltrations of the Intrahepatic Bile Duct: Metastasis of Mucinous Adenocarcinoma
Infiltraciones calcificadas difusas de la vía biliar intrahepática: metástasis de adenocarcinoma mucinoso
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"apellidos" => "Lacy" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía Gastrointestinal, Hospital Clínic de Barcelona, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cirugía General y del Aparato Digestivo, Hospital Álvaro Cunqueiro, Vigo, Pontevedra, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Infiltraciones calcificadas difusas de la vía biliar intrahepática: metástasis de adenocarcinoma mucinoso" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 737 "Ancho" => 1000 "Tamanyo" => 59422 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">59-Year-old female patient with a previous medical history of colon adenocarcinoma treated by segmental resection of the splenic flexure in 2012. Pathology report: signet ring cells and 40% of mucinous component (stage-IIIc: T4aN2bM0). Adjuvant chemotherapy with FOLFOX.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Posterior lymph node recurrence treated with neoadjuvance therapy (Folfiri-Bevacizumab), lymphadenectomy of interaortocaval and celiac regions (8/11 affected), and adjuvant therapy (Capecitabine).</p><p id="par0015" class="elsevierStylePara elsevierViewall">In 2015, we diagnosed a recurrence at hepatic hilum that infiltrated the intrahepatic bile duct (diffuse calcifications suggestive of metastasis of mucinous origin (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), requiring placement of two biliary prostheses due to obstructive cholestasis.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Progression of the disease requiring gastric bypass surgery due to duodenal obstruction and multiple biliary prosthesis replacements.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Guarner P, Garrido L, Momblán D, Lacy AM. Infiltraciones calcificadas difusas de la vía biliar intrahepática: metástasis de adenocarcinoma mucinoso. Cir Esp. 2020;98:98.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 737 "Ancho" => 1000 "Tamanyo" => 59422 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735077/0000009800000002/v1_202002210737/S2173507719301206/v1_202002210737/en/main.assets" "Apartado" => array:4 [ "identificador" => "15075" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735077/0000009800000002/v1_202002210737/S2173507719301206/v1_202002210737/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507719301206?idApp=UINPBA00004N" ]
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