Sasamoto Suguru, Aoki Takeshi, Tashiro Yoshihiko, Matsuda Kazuhiro, Koizumi Tomotake, Kusano Tomokazu, Wada Yusuke, Shibata Hideki, Tomioka Kodai, Yamashita Takeshi, Date Hiromi, Ariyoshi Tomotake, Goto Satoru, Yamazaki Kimiyasu, Fujimori Akira, Watanabe Makoto, Enami Yuta, Otsuka Koji, Norose Tomoko, Ohike Nobuyuki, Yamochi Toshiko, Takimoto Masafumi, Murakami Masahiko
Department of General and Gastroenterological Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8666 Japan.
Department of Diagnostic Pathology, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8666 Japan.
Int Cancer Conf J. 2021 Jan 3;10(2):134-138. doi: 10.1007/s13691-020-00462-y. eCollection 2021 Apr.
A 79-year-old man presented with malaise and jaundice at a local hospital. His blood tests showed severe inflammation, liver failure, and high expression of several tumour markers. Radiological findings revealed dilated common and intrahepatic bile ducts and a lower bile duct constricted by a soft tissue mass. Histological findings by endoscopy showed a suspected adenocarcinoma, which was determined as class IV by cytology. The patient was referred to our hospital for surgical treatment. He underwent pancreaticoduodenectomy and the final diagnosis was so-called carcinosarcoma of the bile duct. He had liver metastasis and died at 26 postoperative months.
一名79岁男性因全身乏力和黄疸在当地医院就诊。血液检查显示有严重炎症、肝衰竭以及多种肿瘤标志物高表达。影像学检查发现肝内外胆管扩张，肝外胆管下段被一软组织肿块压迫。内镜组织学检查显示疑似腺癌，细胞学检查确定为IV级。该患者被转诊至我院接受手术治疗。他接受了胰十二指肠切除术，最终诊断为所谓的胆管癌肉瘤。他出现了肝转移，术后26个月死亡。
