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一例胆囊原发性鳞状细胞癌,伴有肝脏和腹膜局部侵犯及大网膜转移。

A case of primary squamous cell carcinoma of the gallbladder with local invasion of the liver and peritoneum, and metastasis to the omentum.

作者信息

Levy Asaph C J, Casalduc-Coca Francisco, Asiry Saeed, Goodman Allen

机构信息

Department of Radiology, Northwell Health System, Lenox Hill Hospital, 100 East 77th St, New York, NY 10075 USA.

Department of Pathology, Northwell Health System, Lenox Hill Hospital, New York, NY USA.

出版信息

Radiol Case Rep. 2017 Nov 6;13(1):269-274. doi: 10.1016/j.radcr.2017.09.026. eCollection 2018 Feb.

DOI:10.1016/j.radcr.2017.09.026
PMID:29487667
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5826693/
Abstract

Primary squamous cell carcinoma of the gallbladder is a rare entity that comprises approximately 1%-3% of all primary gallbladder cancers. We report the case of a 37-year-old woman who was diagnosed with a locally invasive squamous cell carcinoma of the gallbladder. Surgical pathology revealed a predominantly squamous cell carcinoma composition of the tumor with a few microscopic foci of adenocarcinoma (<1% of tumor). We discuss pertinent clinical features, risk factors, and imaging characteristics to prompt early diagnosis and treatment, which will ultimately lead to improved patient outcomes.

摘要

原发性胆囊鳞状细胞癌是一种罕见的疾病,约占所有原发性胆囊癌的1%-3%。我们报告一例37岁女性,被诊断为局部浸润性胆囊鳞状细胞癌。手术病理显示肿瘤主要由鳞状细胞癌组成,伴有少数腺癌微小病灶(<肿瘤的1%)。我们讨论相关的临床特征、危险因素和影像学特征,以促进早期诊断和治疗,最终改善患者预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dca4/5826693/9d4c2878b5f3/radcr354-fig-0008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dca4/5826693/157b69eb4078/radcr354-fig-0001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dca4/5826693/038b15a04518/radcr354-fig-0006.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dca4/5826693/9d4c2878b5f3/radcr354-fig-0008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dca4/5826693/157b69eb4078/radcr354-fig-0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dca4/5826693/75d71482900a/radcr354-fig-0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dca4/5826693/6cb657d7ea01/radcr354-fig-0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dca4/5826693/fed91c9b457f/radcr354-fig-0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dca4/5826693/ee181570bd97/radcr354-fig-0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dca4/5826693/038b15a04518/radcr354-fig-0006.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dca4/5826693/9d4c2878b5f3/radcr354-fig-0008.jpg

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Squamous cell carcinoma of the gallbladder.胆囊鳞状细胞癌
Transl Gastroenterol Hepatol. 2016 Oct 20;1:78. doi: 10.21037/tgh.2016.09.07. eCollection 2016.
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Adenosquamous carcinoma in the biliary tract: association of the proliferative ability of the squamous component with its proportion and tumor progression.
胆管腺鳞癌:鳞状成分的增殖能力与其比例及肿瘤进展的关系
Scand J Gastroenterol. 2017 Apr;52(4):425-430. doi: 10.1080/00365521.2016.1273383. Epub 2016 Dec 30.
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Primary Pure Keratinising Squamous Cell Carcinoma: A Rare Malignancy with Aggressive Behaviour.原发性纯角化性鳞状细胞癌:一种具有侵袭性的罕见恶性肿瘤。
J Clin Diagn Res. 2016 Sep;10(9):ED21-ED22. doi: 10.7860/JCDR/2016/21445.8582. Epub 2016 Sep 1.
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Squamous/adenosquamous carcinoma of the gallbladder: Analysis of 34 cases and comparison of clinicopathologic features and surgical outcomes with adenocarcinoma.胆囊鳞状/腺鳞癌:34例分析及与腺癌临床病理特征和手术结果的比较
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