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卢氏管导管内及浸润性腺癌，酷似慢性胆囊炎和胆结石。

Intraductal and invasive adenocarcinoma of duct of Luschka, mimicking chronic cholecystitis and cholelithiasis.

作者信息

Jahan Mumtaz, Xiao Philip, Go Alan, Cheema Muhammad, Hameed Arif

机构信息

Department of Family Practice, The Brooklyn Hospital Center, Brooklyn, NY 11201, USA.

出版信息

World J Surg Oncol. 2009 Jan 7;7:4. doi: 10.1186/1477-7819-7-4.

DOI:10.1186/1477-7819-7-4
PMID:19128463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2631453/
Abstract

BACKGROUND

Intraductal and invasive adenocarcinoma of duct of Luschka is rare. To the best of our knowledge, this is the second case report of intraductal and invasive carcinoma arising from ducts of Luschka.

CASE PRESENTATION

Patient presented to hospital with signs and symptoms of chronic cholecystitis and cholelithiasis. Ultrasound examination revealed thickening of gallbladder wall with abnormal septation around liver bed. Patient underwent laparoscopic cholecystectomy and resection of the adjacent liver bed. Histologic examination confirmed an intraductal and invasive adenocarcinoma arising from Luschka ducts.

CONCLUSION

Adenocarcinoma of ducts of Luschka should be considered among differential diagnoses for the patients with typical clinical presentations of chronic cholecystitis and cholelithiasis.

摘要

背景

卢氏管内导管癌和浸润性腺癌较为罕见。据我们所知，这是第二例关于起源于卢氏管的导管内癌和浸润性癌的病例报告。

病例介绍

患者因慢性胆囊炎和胆结石的症状及体征入院。超声检查显示胆囊壁增厚，肝床周围有异常分隔。患者接受了腹腔镜胆囊切除术及相邻肝床切除术。组织学检查证实为起源于卢氏管的导管内癌和浸润性腺癌。

结论

对于具有慢性胆囊炎和胆结石典型临床表现的患者，鉴别诊断时应考虑卢氏管腺癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acd0/2631453/e6316c2814d7/1477-7819-7-4-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acd0/2631453/f524ed92681f/1477-7819-7-4-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acd0/2631453/6930e4959b98/1477-7819-7-4-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acd0/2631453/25957dc137d3/1477-7819-7-4-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acd0/2631453/e6316c2814d7/1477-7819-7-4-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acd0/2631453/f524ed92681f/1477-7819-7-4-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acd0/2631453/6930e4959b98/1477-7819-7-4-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acd0/2631453/25957dc137d3/1477-7819-7-4-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acd0/2631453/e6316c2814d7/1477-7819-7-4-4.jpg

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引用本文的文献

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Hyperplastic Luschka ducts: a mimic of adenocarcinoma in the gallbladder fossa.增生性勒舒克氏管：胆囊窝腺癌的一种类似物。
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本文引用的文献

1
A study of the subvesical bile duct (duct of Luschka) in resected liver specimens.对切除肝脏标本中肝下胆管（卢施卡管）的研究。
World J Surg. 2006 Jul;30(7):1316-20. doi: 10.1007/s00268-005-0469-z.
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Papillary adenocarcinoma of the subvesical duct.膀胱下导管乳头状腺癌
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Treatment of bile leaks from the cystohepatic ducts after laparoscopic cholecystectomy.腹腔镜胆囊切除术后胆囊肝管胆汁漏的治疗
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Surgical significance of the bile duct of Luschka.
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The cystohepatic ducts: surgical implications.
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