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[一位接受根治性手术和肝动脉灌注治疗的晚期胆囊癌长期幸存者]

[A long-term survivor of advanced gallbladder carcinoma treated with curative operation and hepatic arterial infusion].

作者信息

Nogita Hidefumi, Uchida Shinji, Ishikawa Hiroto, Hisaka Toru, Horiuchi Hiroyuki, Kinoshita Hisafumi, Shirouzu Kazuo

机构信息

Dept. of Surgery, Kurume University School of Medicine.

出版信息

Gan To Kagaku Ryoho. 2013 Aug;40(8):1081-3.

Abstract

60-year-old woman was referred to us for epigastralagia under the diagnosis of chronic cholecystitis. Cholecystectomy was performed, and gallbladder carcinoma was pinpointed by postoperative pathological diagnosis. Because liver invasion should have been detected by pathological diagnosis, we conducted liver S4a+S5 resection, extrahepatic bile duct resection and D2 lymphadenectomy. The pathological diagnosis was advanced gallbladder carcinoma with liver metastasis. We treated a patient with curative operation and hepatic arterial infusion adjuvant chemotherapy by low-dose FP therapy for advanced gallbladder carcinoma, and she is doing well now without disease recurrence eight years after surgery.

摘要

一名60岁女性因上腹部疼痛被诊断为慢性胆囊炎后转诊至我院。行胆囊切除术,术后病理诊断为胆囊癌。因病理诊断应已检测到肝脏侵犯,故我们进行了肝S4a+S5切除、肝外胆管切除及D2淋巴结清扫。病理诊断为晚期胆囊癌伴肝转移。我们对一名晚期胆囊癌患者进行了根治性手术及肝动脉灌注辅助化疗,采用低剂量FP方案,术后八年她目前情况良好,无疾病复发。

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