Debreceni L, Dénes L, Molnár J, Hegedüs G, Csete B
Városi Tanács Kórház Rend, Intézet, Mohács, I. sz. Belgyógyászati Osztály.
Orv Hetil. 1990 Jun 24;131(25):1367-9.
The authors review the experiences obtained during investigation of a patient with Klatskin tumor and whose clinical syndromes were developing as of virus hepatitis. In the first two weeks of the illness the clinical symptoms, the chemical laboratory findings and among the virus investigations the positive (experimental) Non-A Non-B hepatitis virus antigen suggested the existence of virus hepatitis. Later the laboratory investigations and the symptoms showed on obstructive icterus. The subsequent performed investigations as ultrasonography and PTC--showed the Klatskin tumor, which was proven by the operation performed and histology. The patient is free from the complaints more than 1 year after the operation, moreover recidivation or metastasis was not indicated by the investigations performed in the latest time.
作者回顾了对一名患有肝门部胆管癌且临床综合征表现为病毒性肝炎的患者进行调查期间所获得的经验。在疾病的最初两周，临床症状、化学实验室检查结果以及病毒检测中阳性的（实验性）非甲非乙型肝炎病毒抗原提示存在病毒性肝炎。之后，实验室检查和症状显示为梗阻性黄疸。随后进行的超声检查和经皮肝穿刺胆管造影（PTC）显示了肝门部胆管癌，手术及组织学检查证实了这一诊断。该患者术后1年多无不适主诉，而且最近的检查未提示复发或转移。
