Carcinoma of the cystic duct is rare. Stewart, Lieber and Morgan,1 in a critical review of the 27 cases which they found reported in the literature, divided them into four groups: 1. Those in which there appeared to be also gross involvement of the gallbladder. 2. Those in which histologic study of the neoplasm in the cystic duct and gallbladder was lacking. 3. Those in which histologic study of the gallbladder was lacking. 4. "A case of small localized polypoid tumor of the cystic duct, together with metastases in the liver, abdominal lymph nodes, in Virchow's node, and the rectal wall. The tumor in the cystic duct was diagnosed histologically as carcinoma solidum. The gallbladder was not described, and the rectum was insufficiently considered as a possible primary source for the growth." These authors in conclusion stated: "We are therefore unable to consider any of these cases as indisputable
BRUNSCHWIG A, CLARK DE. CARCINOMA OF THE CYSTIC DUCTREPORT OF A CASE AND COMMENTS ON LIGATION OF THE HEPATIC ARTERY IN MAN. Arch Surg. 1941;42(6):1094–1100. doi:10.1001/archsurg.1941.01210120129016
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