Five patients with papillary adenocarcinoma of the common bile duct (CBD) are described.These are rare tumors and make up 5% of all malignant tumors of the biliary tract. Thesymptoms and signs at the time of initial diagnosis resemble benign obstructive lesions of the bileducts. The tumor is soft, less invasive to adjacent tissues and tends to grow into the lumen. Theearly onset of the symptoms results in early intervention, with a better prognosis. Two of ourpatients are doing well after two and four years, where as three others were readmitted withrecurrent disease.
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