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8/20/2026 6:49:54 AM | Browse: 2 | Download: 0
Publication Name World Journal of Clinical Cases
Manuscript ID 123303
Country China
Received
2026-05-18 08:10
Peer-Review Started
2026-05-18 08:10
First Decision by Editorial Office Director
2026-05-26 09:49
Return for Revision
2026-05-26 10:40
Revised
2026-06-18 21:12
Publication Fee Transferred
2026-07-16 03:27
Second Decision by Editor
2026-08-05 03:18
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-08-05 10:46
Articles in Press
2026-08-05 10:46
Edit the Manuscript by Language Editor
2026-08-07 15:01
Typeset the Manuscript
2026-08-13 05:48
Publish the Manuscript Online
2026-08-20 06:49
ISSN 2307-8960 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Oncology
Manuscript Type Case Report
Article Title Large cell neuroendocrine carcinoma of the distal common bile duct: A case report and review of literature
Manuscript Source Unsolicited Manuscript
All Author List Bo-Qian Zheng, Ze-Pu Wang, Rui-Zeng Feng, Ze-Cun Zheng, Hong-Jie Wang, Hao Wang and Hong-Fang Tuo
ORCID
Author(s) ORCID Number
Bo-Qian Zheng http://orcid.org/0009-0001-2239-1634
Rui-Zeng Feng http://orcid.org/0009-0001-3460-9661
Ze-Cun Zheng http://orcid.org/0009-0008-4154-1301
Hong-Jie Wang http://orcid.org/0009-0007-1069-6928
Hong-Fang Tuo http://orcid.org/0009-0009-7448-7492
Funding Agency and Grant Number
Corresponding Author Hong-Fang Tuo, Associate Professor, Second Department of Hepatobiliary and Pancreatic Surgery, Hebei Provincial People's Hospital, No.348 Heping West Road, Xinhua District, Shijiazhuang City, Hebei Province, P.R. China, Shijiazhuang 050051, Hebei Province, China. tuohongfang2023@163.com
Key Words Neuroendocrine carcinoma; Common bile duct; Pancreaticoduodenectomy; Multidisciplinary team; Case report
Core Tip This case reports describe a distal common bile duct large cell neuroendocrine carcinoma (LCNEC) with a positive bile duct margin (R1 resection). Comprehensive immunohistochemistry revealed a proficient mismatch repair (MMR)/microsatellite stable phenotype, providing a molecular basis for excluding postoperative adjuvant immunotherapy. It is the first report of MMR testing directly guiding treatment decisions in biliary LCNEC, and clinicians are advised to incorporate MMR testing as a routine examination for biliary neuroendocrine carcinoma to inform immunotherapy decisions. With effective systemic therapy, positive margin (R1) resection does not preclude the possibility of favorable short-term outcomes. Multidisciplinary management that integrates molecular pathology is key to individualized treatment of rare tumors.
Publish Date 2026-08-20 06:49
Citation

Zheng BQ, Wang ZP, Feng RZ, Zheng ZC, Wang HJ, Wang H, Tuo HF. Large cell neuroendocrine carcinoma of the distal common bile duct: A case report and review of literature. World J Clin Cases 2026; 14(24): 123303

URL https://www.wjgnet.com/2307-8960/full/v14/i24/123303.htm
DOI https://doi.org/10.12998/wjcc.123303
Full Article (PDF) WJCC-14-123303-with-cover.pdf
CARE Checklist–2016 123303-CARE-Checklist-2016.pdf
Manuscript File 123303_Auto_Edited_003224.docx
Answering Reviewers 123303-answering-reviewers.pdf
Audio Core Tip 123303-audio.m4a
Conflict-of-Interest Disclosure Form 123303-conflict-of-interest-statement.pdf
Copyright License Agreement 123303-copyright-assignment.pdf
Signed Consent for Treatment Form(s) or Document(s) 123303-informed-consent-statement.pdf
Non-Native Speakers of English Editing Certificate 123303-non-native-speakers.pdf
Peer-review Report 123303-peer-reviews.pdf
Scientific Misconduct Check 123303-scientific-misconduct-check.png
CrossCheck Report 123303-crosscheck-report.pdf