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一例与肝内导管内乳头状肿瘤相关的胶样癌。

A case of colloid carcinoma arising in association with intraductal papillary neoplasm of the liver.

作者信息

Kang Gu Hyum, Moon Hee Seok, Lee Eaum Seok, Kim Seok Hyun, Sung Jae Kyu, Lee Byunseok, Jeong Hyun Yong

机构信息

Department of Internal Medicine, Chungnam National University Hospital, Daejeon, Korea.

出版信息

Korean J Gastroenterol. 2012 Dec;60(6):386-90. doi: 10.4166/kjg.2012.60.6.386.

Abstract

Colloid carcinoma of the liver is very rare, and its clinicopathologic features have not been well characterized yet. We describe herein a case of colloid carcinoma of the liver. Imaging revealed a lobulated mass, measuring 12 cm in diameter at the right lobe of the liver with direct invasion of adjacent peripheral intrahepatic bile ducts. Right hemihepatectomy of the liver was performed according to the possibility of the tumor's malignant behavior. Histopathological examination of the specimen revealed large extracelluar stromal mucin pools containing floating cuboidal to columnar neoplastic cells without ovarian-like stroma. This case seemed to be colloid carcinoma arising in association with intraductal papillary neoplasm of the liver.

摘要

肝胶样癌非常罕见,其临床病理特征尚未得到充分描述。我们在此描述一例肝胶样癌病例。影像学检查显示肝脏右叶有一个分叶状肿块,直径12厘米,直接侵犯相邻的肝内周边胆管。根据肿瘤的恶性行为可能性,实施了肝脏右半肝切除术。对标本进行组织病理学检查发现,有大量细胞外基质黏液池,其中含有漂浮的立方形至柱状肿瘤细胞,无卵巢样间质。该病例似乎是与肝内导管内乳头状肿瘤相关的胶样癌。

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