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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
What is the incidence of biliary carcinoma in choledochal cysts, when do they develop, and how should it affect
Amit V Sastry1, Benjamin Abbadessa, Michael G Wayne
1Department of Surgery, Beth Israel Medical Center, New York, NY, USA, asastry@chpnet.org.
Abstract:
The incidence of cancer in choledochal cysts (CCs) in adults was calculated to determine the timing and need for surgery. In 78 publications (1996-2010), 434 of 5780 reported CCs patients had cancer. Cholangiocarcinoma (70.4 %) and gallbladder cancer (23.5 %) were the most common malignancies. Only nine malignancies were reported before age 18 (0.42 %). In contrast, the incidence of malignancy in adults was 11.4 %. The median age for diagnosis of cancer was 42 years, and the incidence increased with each decade.
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