Cho C, Rullis I, Rogers L S
Arch Surg. 1978 Mar;113(3):272-4. doi: 10.1001/archsurg.1978.01370150044007.
Bile duct adenomas can be difficult to differentiate at laparotomy from small metastatic tumor nodules in the liver. This can present a problem to the pathologist and surgeon relative to the advisability of attempted curative vs pallative surgery. We report two such cases. Review of our autopsy materials shows the incidence of bile duct adenoma to be higher than usually reported. Even though they all present as grayish-white, firm nodules, usually frozen section will reveal the true nature of the lesion. Occasionally, however, the lesions with active bile duct proliferation can cause problems in diagnosis, even after such examination. Accurate diagnosis by recognition of the entity and its histological characteristics may be very important in the surgical treatment of patients.
胆管腺瘤在剖腹手术中可能难以与肝脏中的小转移瘤结节相鉴别。这可能给病理学家和外科医生带来一个问题，即关于尝试进行根治性手术还是姑息性手术的可取性。我们报告两例这样的病例。对我们尸检材料的回顾显示，胆管腺瘤的发生率高于通常报道的情况。尽管它们都表现为灰白色、质地坚实的结节，但通常冰冻切片会揭示病变的真实性质。然而，偶尔即使经过这样的检查，具有活跃胆管增生的病变在诊断上也可能出现问题。通过识别该实体及其组织学特征进行准确诊断，对于患者的外科治疗可能非常重要。
