[模拟胆管癌的结肠腺癌肝转移]

[Liver metastases from colonic adenocarcinoma simulating cholangiocarcinoma].

作者信息

Fraguela Mariña José Antonio, Fernández Blanco Celsa, Alonso Fernández Leticia, Taboada Filgueira Luis, Robles Veiga Olga, Gómez Freijoso Carlos

机构信息

Servicio de Cirugía General y del Aparato Digestivo A, La Coruña, España.

出版信息

Gastroenterol Hepatol. 2007 Oct;30(8):454-6. doi: 10.1157/13110494.

DOI:10.1157/13110494

PMID:17949611

Abstract

Macroscopic intrabiliary growth of liver metastases from colonic adenocarcinoma mimicking cholangiocarcinoma, a pattern of intrahepatic spread easily confused with primary neoplasia of the biliary tract, is extremely infrequent. Resection of liver metastases has a better prognosis than that of primary neoplasia of the biliary tract. We report a case of metastasis from adenocarcinoma of the colon that presented as a Klatskin tumor. The definitive diagnosis was established by immunostaining.

摘要

结肠腺癌肝转移灶在胆管内呈肉眼可见的生长，类似胆管癌，这种肝内播散模式易与胆道原发性肿瘤相混淆，极为罕见。肝转移灶切除术的预后优于胆道原发性肿瘤。我们报告一例表现为肝门部胆管癌的结肠腺癌转移病例。通过免疫染色确立了明确诊断。