Jae-Min Jo, Yoo-kyung Cho, Ji-Young Rhee, Jung-Mi Kwon, Woo-Kun Kim, Sang-Hoon Han, Department of Internal Medicine, Jeju National University Hospital, Jeju-si 890-716, Jeju Self-Governing Province, South Korea.
World J Gastroenterol. 2013 Nov 28;19(44):8146-50. doi: 10.3748/wjg.v19.i44.8146.
An 80-year-old woman presenting with chest pain was found to have a large, lobulated soft tissue mass in the liver and nearby tissues on abdominal computed tomography (CT). The tumor had invaded the common hepatic artery and main portal vein. Jaundice developed 4 wk later, at which point, a pancreas and biliary CT scan revealed a large mass in the right lobe of the liver and a hilar duct obstruction, which was found to be a small cell carcinoma. Despite its rarity, liver and bile duct small cell carcinoma should be considered in the differential diagnosis of atypical chest pain without jaundice.
一位 80 岁女性因胸痛就诊,腹部计算机断层扫描(CT)显示肝脏及附近组织内有一个大的、分叶状软组织肿块。肿瘤已侵犯肝总动脉和门静脉主干。4 周后出现黄疸,此时胰腺和胆道 CT 扫描显示肝脏右叶有一个大肿块和肝门胆管阻塞,被诊断为小细胞癌。尽管罕见,但对于无黄疸的不典型胸痛,应考虑将肝和胆管小细胞癌纳入鉴别诊断。