II 型胆总管囊肿单纯切除术后发生的胆管癌。
Cholangiocarcinoma developing after simple excision of a type II choledochal cyst.
作者信息
Coyle K A, Bradley E L
机构信息
Department of Surgery, Emory University School of Medicine, Atlanta, Ga. 30309.
出版信息
South Med J. 1992 May;85(5):540-4. doi: 10.1097/00007611-199205000-00016.
We have reported the fourth case of cholangiocarcinoma associated with a resected diverticulum of the common bile duct (type II choledochal cyst). The malignancy developed 2 years after adenomatous hyperplasia was demonstrated by simple excision of the cyst. We hypothesize that adenomatous hyperplasia is an early phase of malignant transformation in such patients. We believe the finding of adenomatous hyperplasia is of considerable importance in determining the extent of surgical resection.
我们已报告了第四例与切除的胆总管憩室（II 型胆管囊肿）相关的胆管癌病例。在通过囊肿单纯切除术证实存在腺瘤样增生 2 年后发生了恶性肿瘤。我们推测腺瘤样增生是此类患者恶性转化的早期阶段。我们认为腺瘤样增生的发现对于确定手术切除范围具有相当重要的意义。
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