Hasegawa K, Kubota K, Komatsu Y, Mori M, Midorikawa Y, Takayama T, Makuuchi M
Department of Surgery, Graduate School of Medicine, University of Tokyo, Japan.
Hepatogastroenterology. 2000 Sep-Oct;47(35):1230-3.
A case of a rare benign biliary lesion at the hepatic hilum mimicking hilar bile duct carcinoma is reported. A 73-year-old man was found to have gastric cancer by gastrointestinal fiberscopy. Dilated right intrahepatic bile ducts and a 2-cm mass in the right hepatic duct were demonstrated by further imaging investigations. He was finally diagnosed as having hilar bile duct and gastric carcinomas, and underwent right portal vein embolization followed by a single-stage extended right hepatectomy and total gastrectomy. Pathologically, however, the lesion in the right hepatic duct showed inflammatory changes with periductal fibrosis, without any signs of malignancy. A literature search revealed 11 such cases including the present one.
本文报道了一例发生于肝门部的罕见良性胆管病变，该病变酷似肝门部胆管癌。一名73岁男性经胃肠纤维内镜检查发现患有胃癌。进一步的影像学检查显示右肝内胆管扩张，右肝管内有一个2厘米的肿块。他最终被诊断为肝门部胆管癌和胃癌，并接受了右门静脉栓塞术，随后进行了一期扩大右肝切除术和全胃切除术。然而，病理检查显示右肝管病变为炎症性改变伴导管周围纤维化，无任何恶性迹象。文献检索发现包括本病例在内共有11例此类病例。
