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肝外胆管囊腺瘤:胆管梗阻的罕见原因。

Extrahepatic biliary cystadenoma: a rare cause of biliary obstruction.

作者信息

Metussin Adli, Telisinghe Pemasari, Kok Kenneth, Chong Vui

机构信息

Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, Brunei.

Department of Pathology, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, Brunei.

出版信息

Oman Med J. 2015 Jan;30(1):66-8. doi: 10.5001/omj.2015.13.

DOI:10.5001/omj.2015.13
PMID:25830005
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4371457/
Abstract

Biliary cystadenoma is a rare tumor of the biliary tree and a rare cause of obstructive jaundice. Most are intrahepatic, and pure extrahepatic biliary cystadenoma is less common. Cases are more common in women. Unless suspected, diagnosis of extrahepatic biliary cystadenoma is often delayed. Here, we report the case of a young woman with extrahepatic biliary cystadenoma who presented at Raja Isteri Pengiran Anak Saleha Hospital with obstructive jaundice initially thought to be due to a large biliary stone based on the endoscopic cholangiogram image. She was successfully managed with resection of the cystadenoma.

摘要

胆管囊腺瘤是一种罕见的胆管树肿瘤,也是梗阻性黄疸的罕见病因。大多数为肝内型,单纯肝外型胆管囊腺瘤较少见。病例在女性中更为常见。除非有所怀疑,肝外型胆管囊腺瘤的诊断往往会延迟。在此,我们报告一例肝外型胆管囊腺瘤的年轻女性病例,该患者最初因内镜胆管造影图像显示疑似大的胆管结石而以梗阻性黄疸就诊于拉贾伊斯特丽·彭丽媛·萨利哈医院。她通过切除囊腺瘤获得了成功治疗。

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本文引用的文献

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Filling Defect on ERCP: Biliary Cystadenoma, a Rare Tumor.内镜逆行胰胆管造影(ERCP)检查中的充盈缺损:胆管囊腺瘤,一种罕见肿瘤。
Case Rep Gastroenterol. 2013 Jan;7(1):7-13. doi: 10.1159/000346297. Epub 2013 Jan 3.
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Biliary cystadenomas: a case for complete resection.胆管囊腺瘤:完全切除的病例分析
HPB Surg. 2012;2012:501705. doi: 10.1155/2012/501705. Epub 2012 Jun 20.
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Intra and extra-hepatic cystadenoma of the biliary duct. Review of literature and radiological and pathological characteristics of a very rare case.胆管肝内和肝外囊腺瘤。文献综述及1例罕见病例的影像学和病理学特征
BMJ Case Rep. 2012 Apr 4;2012:bcr0120125497. doi: 10.1136/bcr.01.2012.5497.
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Intrahepatic biliary cystadenoma and cystadenocarcinoma: an experience of 30 cases.肝内胆管囊腺瘤和囊腺癌:30 例经验。
Dig Liver Dis. 2012 May;44(5):426-31. doi: 10.1016/j.dld.2011.11.007. Epub 2011 Dec 9.
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Extrahepatic biliary cystadenoma with mesenchymal stroma: a true biliary cystadenoma? A case report.肝外胆管囊腺瘤伴间叶基质:真正的胆管囊腺瘤?病例报告。
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Biliary cystadenoma.胆管囊腺瘤
World J Gastroenterol. 2009 Jul 28;15(28):3573-5. doi: 10.3748/wjg.15.3573.
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Cystic tumors of the liver: a practical approach.肝脏囊性肿瘤:一种实用方法
World J Gastroenterol. 2008 Jun 21;14(23):3616-20. doi: 10.3748/wjg.14.3616.
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Biliary cystadenoma revealed by obstructive jaundice.阻塞性黄疸提示的胆管囊腺瘤。
Dig Liver Dis. 2009 Jul;41(7):e11-3. doi: 10.1016/j.dld.2008.01.002. Epub 2008 Mar 7.
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Effective treatment of biliary cystadenoma.胆管囊腺瘤的有效治疗
Ann Surg. 2005 May;241(5):769-73; discussion 773-5. doi: 10.1097/01.sla.0000161982.57360.1b.