Lim Hoang U, Chan Cyrus C, Knotts F Barry
Department of Surgery, Mercy St. Vincent Medical Center, Toledo,OH, USA.
Department of Surgery, University of Toledo Medical Center, Toledo, OH, USA
J Surg Case Rep. 2013 Apr 4;2013(4):rjt021. doi: 10.1093/jscr/rjt021.
Cystic duct carcinoids are extremely rare tumors. We present a 58-year-old female with carcinoid tumor found within the cystic duct margin following laparoscopic cholecystectomy. She subsequently underwent surgical resection with a Roux-en-Y hepaticojejunostomy. No standard guidelines currently exist regarding surgical excision of these rare tumors. Therefore, we conducted a thorough review of the literature to recommend complete oncologic surgical resection with re-establishment of biliary continuity as the mainstay of definitive treatment; adjuvant therapy currently remains investigational. Long-term prognosis is good with this approach.
胆囊管类癌是极其罕见的肿瘤。我们报告一名58岁女性,在腹腔镜胆囊切除术后,于胆囊管切缘发现类癌肿瘤。她随后接受了手术切除及 Roux-en-Y 肝空肠吻合术。目前对于这些罕见肿瘤的手术切除尚无标准指南。因此,我们对文献进行了全面回顾,建议以完整的肿瘤外科切除并重建胆道连续性作为确定性治疗的主要手段;辅助治疗目前仍处于研究阶段。采用这种方法长期预后良好。