Yamamoto Atsushi, Ozeki Yutaka, Ito Yoshihiro, Horita Ryosuke, Saji Shigetoyo, Sugiyama Hiroshi, Matsunaga Kengo
Department of Surgery, Kizawa Memorial Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2010 Nov;107(11):1821-7.
We report a case of well differentiated mucinous carcinoma of the gallbladder. An 80-year-old man was admitted to our hospital because of fever and CT showed a mass in the fundus of the gallbladder and choledocholithiasis. Endoscopic removal of the common bile duct stones was done. Abdominal ultrasonography and CT showed a 4 cm mass in the fundus of the gallbladder. Based on a diagnosis of adenomyomatosis or mucinous carcinoma of the gallbladder, a laparotomy revealed a white mass in the fundus of gallbladder. Intra-operative pathological diagnosis of lymph node of cystic duct was mucinous carcinoma. Therefore, we conducted partial resection of the liver with D1 lymph node dissection. Pathological diagnosis confirmed well differentiated mucinous carcinoma of the gallbladder. His postoperative course was uneventful, and he is doing well without recurrence.
我们报告一例高分化胆囊黏液腺癌。一名80岁男性因发热入院,CT显示胆囊底部有一肿块及胆总管结石。行内镜下胆总管结石取出术。腹部超声和CT显示胆囊底部有一个4cm的肿块。基于胆囊腺肌症或黏液腺癌的诊断,剖腹探查发现胆囊底部有一白色肿块。术中胆囊管淋巴结病理诊断为黏液癌。因此,我们进行了肝部分切除及D1淋巴结清扫。病理诊断证实为高分化胆囊黏液腺癌。他术后恢复顺利,目前情况良好,无复发。