[肝外胆管下段腺鳞癌1例]
[A case of adenosquamous carcinoma of lower extrahepatic bile duct].
作者信息
Aoki Hideki, Kanazawa Takashi, Fujiwara Yuko, Morihiro Toshiaki, Takehara Kiyoto, Seita Masayuki, Ohara Toshiaki, Arata Takashi, Nakagawa Hitoshi, Tanakaya Koji, Takeuchi Hitoshi
机构信息
Dept. of Surgery, National Hospital, Iwakuni Clinical Center.
出版信息
Gan To Kagaku Ryoho. 2012 Jan;39(1):131-3.
We report a 83-year-old female with bile duct cancer who underwent subtotal stomach preserving pancreatoduodenectomy. Pathologically, her tumor was diagnosed as adenosquamous carcinoma of the lower extrahepatic bile duct with final stage IVb[pT3pN3M(-)].The prognosis of patients with adenosquamous carcinoma of the bile duct is very poor, and the reason is thought to be its tendency to invade the pancreas.Although she was an aged patient, we performed adjuvant chemotherapy using gemcitabine.No recurrence has occurred until this day, 30 months after the operation.This is thought to be an effect of the adjuvant chemotherapy, considering its poor prognosis.
我们报告了一名83岁患有胆管癌的女性患者，她接受了保留胃的胰十二指肠次全切除术。病理检查显示，她的肿瘤被诊断为肝外胆管下段腺鳞癌，处于IVb期[pT3pN3M(-)]。胆管腺鳞癌患者的预后非常差，原因被认为是其易于侵犯胰腺。尽管她是一名老年患者，我们仍使用吉西他滨进行了辅助化疗。术后30个月至今未出现复发。考虑到其预后较差，这被认为是辅助化疗的效果。
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