胆总管类癌肿瘤的一种罕见表现。
An unusual presentation of a carcinoid tumor of the common bile duct.
作者信息
Jethava Ashif, Muralidharan Visvanathan, Mesologites Thalia, Stoica-Mustafa Elena, Dasanu Constantin A
机构信息
Department of Hematology-Oncology, Saint Francis Hospital and Medical Center, Hartford, CT, USA.
出版信息
JOP. 2013 Jan 10;14(1):85-7. doi: 10.6092/1590-8577/1232.
CONTEXT
Carcinoid tumors arising from the bile ducts account for only a small fraction of biliary tract cancers.
CASE REPORT
We report herein a 42-year-old man with a carcinoid tumor of the common bile duct. He presented with abdominal pain, bloating and dyspepsia. Clinicolaboratory and imaging studies suggested a probable obstructive common bile duct lesion. The patient underwent an endoscopic retrograde cholangiopancreatography with a stent placement in view of common bile duct decompression. Persistence of symptoms prompted a laparotomy and pancreaticoduodenectomy that revealed a well-differentiated carcinoid tumor originating in the common bile duct.
CONCLUSION
Clinician's familiarity with the unusual sites of origin of neuroendocrine tumors and/or atypical presentation of such tumors may facilitate their early recognition and allow for a timely intervention.
背景
胆管类癌肿瘤仅占胆道癌的一小部分。
病例报告
我们在此报告一名42岁患有胆总管类癌肿瘤的男性。他表现为腹痛、腹胀和消化不良。临床实验室检查和影像学研究提示可能存在胆总管梗阻性病变。鉴于胆总管减压，患者接受了内镜逆行胰胆管造影并放置了支架。症状持续存在促使进行剖腹手术和胰十二指肠切除术，结果发现是起源于胆总管的高分化类癌肿瘤。
结论
临床医生熟悉神经内分泌肿瘤的不寻常起源部位和/或此类肿瘤的非典型表现可能有助于早期识别并及时进行干预。
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