Takayasu K, Muramatsu Y, Moriyama N, Yamada T, Hasegawa H, Hirohashi S, Ichikawa T, Ohno G
Department of Diagnostic Radiology, National Cancer Center Hospital, Tokyo, Japan.
Cancer. 1988 Mar 1;61(5):941-6. doi: 10.1002/1097-0142(19880301)61:5<941::aid-cncr2820610514>3.0.co;2-0.
Two patients with surgically resected biliary cystadenocarcinoma are presented. Both were asymptomatic and the cancer was incidentally found by ultrasonography (US). In the first case, a huge multilocular tumor (21 X 15 cm in diameter) having many papillary projections and septa within it and small daughter lesions occupied both the right anterior and left medial areas of the liver. They were clearly demonstrated on US and computed tomography (CT). Angiography disclosed tumor vessels in some area of the lesion, these features strongly suggested cystadenocarcinoma. The second case had a solid mass (7 X 7 cm) in the left hepatic lobe, in which many septal structures within the lesion were seen on enhanced CT and light dot like stains were recognized on angiography. The former findings coincided with the internal gross feature of the resected specimen. Both patients are doing well 8 months and 1 year and 6 months after operation, respectively.
本文报告了两例经手术切除的胆管囊腺癌患者。两例患者均无症状，癌症通过超声检查（US）偶然发现。第一例中，一个巨大的多房性肿瘤（直径21×15厘米），内部有许多乳头状突起和间隔，还有小的子病灶，占据了肝脏的右前叶和左内侧叶。这些在超声和计算机断层扫描（CT）上都清晰可见。血管造影显示病变的某些区域有肿瘤血管，这些特征强烈提示为囊腺癌。第二例患者左肝叶有一个实性肿块（7×7厘米），增强CT上可见病变内有许多间隔结构，血管造影上可见点状染色。前者的表现与切除标本的内部大体特征相符。两名患者分别在术后8个月、1年零6个月时情况良好。
