胆囊切除术后胆囊管高级别异型增生的处理
Management of high-grade dysplasia of the cystic duct after cholecystectomy.
作者信息
Moslim Maitham A, Tang Andrew, Morris-Stiff Gareth
机构信息
HPB Surgery, Cleveland Clinic, Cleveland, Ohio, USA.
Surgery, Cwm Taf NHS Trust, Llantrisant, RCT, UK.
出版信息
BMJ Case Rep. 2017 Jun 22;2017:bcr-2016-218994. doi: 10.1136/bcr-2016-218994.
Abstract
High-grade dysplasia (HGD) of the cystic duct margin without evidence of concurrent malignancy is a rare occurrence. We present a case of a 36-year-old woman who developed gallstone pancreatitis and subsequently underwent a laparoscopic cholecystectomy. On histopathology, she was found to have HGD at the cystic duct margin. Following evaluation, she underwent excision of the cystic duct remnant with no malignancy being present on final pathology. We present this case to discuss the management of cystic duct dysplasia in the absence of gallbladder malignancy.
摘要
胆囊管切缘高级别异型增生（HGD）且无同时存在恶性肿瘤证据的情况较为罕见。我们报告一例36岁女性，她患胆结石性胰腺炎，随后接受了腹腔镜胆囊切除术。组织病理学检查发现，她的胆囊管切缘存在HGD。经评估后，她接受了胆囊管残余部分切除术，最终病理检查未发现恶性肿瘤。我们呈现此病例以讨论在不存在胆囊恶性肿瘤情况下胆囊管异型增生的处理。
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