Ross A C, Hurley J B, Hay W B, Rusnak C H, Petrunia D M
Department of Surgery, Victoria General Hospital, BC.
Can J Surg. 1999 Feb;42(1):59-63.
Carcinoids of the extrahepatic bile ducts and particularly the common bile duct are extremely rare. A 65-year-old woman presented with obstructive jaundice. Laboratory and imaging studies gave results that were consistent with an obstructing lesion in the common bile duct. In this case, a stent was inserted initially to decompress the bile ducts. Subsequently a laparotomy and pancreaticoduodenectomy were performed and a tissue diagnosis of carcinoid of the common bile duct was made. The patient was well with no evidence of recurrence 17 months postoperatively. The authors believe this is the 19th reported case of an extrahepatic bile duct carcinoid.
肝外胆管尤其是胆总管的类癌极为罕见。一名65岁女性因梗阻性黄疸就诊。实验室检查和影像学检查结果与胆总管梗阻性病变相符。在此病例中,最初置入了支架以减轻胆管压力。随后进行了剖腹手术和胰十二指肠切除术,组织学诊断为胆总管类癌。患者术后17个月情况良好,无复发迹象。作者认为这是第19例报道的肝外胆管类癌病例。