Kubota Eiji, Katsumi Kohei, Iida Masayuki, Kishimoto Akihiko, Ban Yoshimitsu, Nakata Koutaroh, Takahashi Nobuo, Kobayashi Kunio, Andoh Kenji, Takamatsu Shinichi, Joh Takashi
Internal Medicine, Nagoya Midori Municipal Hospital, 1-77 Shiomigaoka, Midori-ku, Nagoya 458-0037, Japan.
J Gastroenterol. 2003;38(3):278-82. doi: 10.1007/s005350300048.
We describe a case of biliary cystadenocarcinoma that showed a longterm clinical course. A 69-year-old Japanese man was admitted to our hospital because of abdominal discomfort. The patient had been diagnosed with benign cystadenoma of the liver at another hospital in 1987 and had been followed up for 10 years. Abdominal ultrasonography (US) and computed tomography (CT) scan demonstrated a unilocular cystic lesion, which included multiple conspicuous papillary protrusions in the left hepatic lobe. Left lateral segmentectomy was performed, and intraoperative cholangiography revealed a communication between the cystic tumor and intrahepatic bile duct. The tumor contained clear mucinous fluid and enfolded multiple yellowish papillary projections on the cystic wall. Histological examination showed the tumor to be biliary cystadenocarcinoma. The patient is doing well 4 years after the operation.
我们报告一例具有长期临床病程的胆管囊腺癌病例。一名69岁的日本男性因腹部不适入院。该患者于1987年在另一家医院被诊断为肝脏良性囊腺瘤，并接受了10年的随访。腹部超声（US）和计算机断层扫描（CT）显示左肝叶有一个单房囊性病变，其中包括多个明显的乳头状突起。进行了左外侧段切除术，术中胆管造影显示囊性肿瘤与肝内胆管相通。肿瘤含有清亮的黏液性液体，囊壁上有多个淡黄色乳头状突起。组织学检查显示该肿瘤为胆管囊腺癌。患者术后4年情况良好。
