[肝鳞状细胞癌。肝内胆管结石病过程中的罕见诊断]

[Squamous cell carcinoma of the liver. A rare diagnosis in the course of intrahepatic cholangiolithiasis].

作者信息

Klug R, Sega W, Aufschnaiter M

机构信息

Abteilung für Allgemein- und Gefässchirurgie, KH Barmherzige Schwestern, Linz, Austria.

出版信息

Chirurg. 2003 Jan;74(1):69-72. doi: 10.1007/s00104-002-0568-4.

DOI:10.1007/s00104-002-0568-4

PMID:12552409

Abstract

We report the rare case of a squamous cell carcinoma of the liver in a 69-year-old female Asian suffering from cholangitis and a liver abscess due to segmental intrahepatic cholangiolithiasis. The patient was an immigrant who had been living for several years in Austria. After pigtail drainage of an abscess in segment II and III, a bisegmentectomy was performed. Histopathological examination of the specimen showed structures of an invasive squamous cell carcinoma close to the resection margin.For that reason we performed a left lobectomy. Seven years thereafter the patient is well and free of local and distant recurrences. The case is discussed based on a review of the literature.

摘要

我们报告了一例罕见的肝鳞状细胞癌病例，患者为一名69岁的亚洲女性，因节段性肝内胆管结石症并发胆管炎和肝脓肿。该患者是一名移民，已在奥地利生活数年。在对肝段II和III的脓肿进行猪尾引流后，实施了双肝段切除术。标本的组织病理学检查显示，在切除边缘附近有浸润性鳞状细胞癌结构。因此，我们进行了左叶切除术。七年后，患者情况良好，无局部及远处复发。本文结合文献复习对该病例进行了讨论。