A super-elderly patient with distal biliary tract cancer and tumor-associated granuloma: a case report - Takeaways - MDSpire

A super-elderly patient with distal biliary tract cancer and tumor-associated granuloma: a case report

  • By

  • Longfei Chen

  • Rong Ran

  • Jing Wu

  • Futang Li

  • Zikai Wei

  • Zhiwei He

  • Chao Yu

  • July 3, 2026

  • 0 min

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  • 1

    A 90-year-old female patient with distal cholangiocarcinoma underwent pancreaticoduodenectomy after presenting with abdominal pain and distension.

  • 2

    Pathology confirmed poorly differentiated cholangiocarcinoma with negative margins, and no metastasis was found in regional lymph nodes.

  • 3

    Non-caseating granulomas were observed, indicating tumor-related granulomatous reactions, a rare phenomenon in malignancies.

  • 4

    Postoperative management included volume control and treatment for transient cardiac stress and a secondary fungal infection.

  • 5

    The case suggests that age should not be an absolute contraindication for radical surgery in elderly patients with acceptable physical conditions.

Original Source(s)

A super-elderly patient with distal biliary tract cancer and tumor-associated granuloma: a case report

  • by Longfei Chen, Rong Ran, Jing Wu, Futang Li, Zikai Wei, Zhiwei He, Chao Yu

  • July 3, 2026

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