Oberholzer C, Keller D I
Medizinische Poliklinik, Universitätsspital Basel.
Praxis (Bern 1994). 2007 Sep 12;96(37):1391-3. doi: 10.1024/1661-8157.96.37.1391.
We report about a seventy year old patient with painless jaundice, loss of weight and signs of laboratory-confirmed cholestasis. A CT-Scan revealed a tumor mass in the pancreatic head with extensive liver metastasis. We illustrate the required diagnostic steps to assess cholestasis and painless icterus. A definite diagnosis can not always be made even with extensive histological or immunohistochemical workup.
我们报告了一名70岁的患者，其有无痛性黄疸、体重减轻以及实验室确诊的胆汁淤积迹象。计算机断层扫描显示胰头有一个肿瘤肿块，并伴有广泛的肝转移。我们阐述了评估胆汁淤积和无痛性黄疸所需的诊断步骤。即使进行广泛的组织学或免疫组织化学检查，也并非总能做出明确诊断。
