Hijikawa Takeshi, Kitade Hiroaki, Yanagida Hidesuke, Yamada Masanori, Sueoka Noriko, Ueda Aiko, Tsubota Yu, Yamamoto Daigo, Yoshioka Kazuhiko, Kon Masanori
Dept. of Surgery, Kansai Medical University.
Gan To Kagaku Ryoho. 2016 Nov;43(12):2103-2105.
We report a case of gallbladder cancer and right breast cancer associated with pancreaticobiliary maljunction.The patient was a 74-year-old woman who presented with abdominal pain due to cholecystitis.Abdominal CT detected a gallbladder tumor and right breast tumor.Enhanced CT and MRCP examination revealed gallbladder cancer and right breast cancer associated with pancreaticobiliary maljunction.We performed a gallbladder bed resection, bile duct resection, and right total mastectomy.The histopathological diagnosis of the gallbladder was moderately tubular adenocarcinoma and that of the breast tumor was scirrhous carcinoma.The patient remains recurrence-free 8 months after surgery.
我们报告一例与胰胆管合流异常相关的胆囊癌和右乳腺癌病例。患者为一名74岁女性，因胆囊炎出现腹痛。腹部CT检查发现胆囊肿瘤和右乳腺肿瘤。增强CT和磁共振胰胆管造影（MRCP）检查显示胆囊癌和右乳腺癌与胰胆管合流异常相关。我们实施了胆囊床切除术、胆管切除术和右乳全切除术。胆囊的组织病理学诊断为中度管状腺癌，乳腺肿瘤的诊断为硬癌。患者术后8个月无复发。
