This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Age-Related Incidence

C. Randle Voyles, MD; Claude Smadja, MD; W. Coupery Shands, MD; Leslie H. Blumgart, MD

Arch Surg. 1983;118(8):986-988.

Abstract
• We examined a case of malignant degeneration that occurred as a long-term complication of a choledochal cyst. Analysis of the literature shows the incidence of carcinoma varies with age at the initial appearance of symptoms. The child with a choledochal cyst that appears before 10 years of age carries a minimum risk (0.7%) of subsequent malignant degeneration compared with the patient in the second decade (6.8%) and older (14.3%). Data suggest that carcinoma may be readily overlooked at the time of choledochal cyst exploration. In light of the findings, an age-adjusted strategy for management should be used.

(Arch Surg 1983;118:986-988)

Author Affiliations
From the Hepatobiliary Surgery Unit, Hammersmith Hospital, Royal Postgraduate Medical School, London. Dr Voyles is now with the Department of Surgery, University of Mississippi, Jackson.

Footnotes
Accepted for publication Nov 29, 1982.

Reprint requests to Department of Surgery, University of Mississippi, Jackson, MS 39216 (Dr Voyles).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Long-term Results of Treatment for Pancreaticobiliary Maljunction Without Bile Duct Dilatation
Ohuchida et al.
Arch Surg 2006;141:1066-1070.
ABSTRACT | FULL TEXT  

Choledochal Cysts in Adults
Liu et al.
Arch Surg 2002;137:465-468.
ABSTRACT | FULL TEXT  

Management of Bile Duct Cysts in Adults
Deziel et al.
Arch Surg 1986;121:410-415.
ABSTRACT