经口胆管镜检查诊断出的一例罕见的伴有胆管侵犯的肝细胞癌病例。
A rare case of hepatocellular carcinoma with bile duct invasion diagnosed by peroral cholangioscopy.
作者信息
Ito Risako, Kobayashi Masanori, Ohtsuka Kazuo, Tanabe Minoru, Okamoto Ryuichi
机构信息
Department of Gastroenterology and Hepatology, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
Department of Hepatobiliary and Pancreatic Surgery, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
出版信息
VideoGIE. 2021 May 26;6(8):354-357. doi: 10.1016/j.vgie.2021.04.007. eCollection 2021 Aug.
Video 1Peroral cholangioscopy showed a 20-mm-diameter, stalked, floating, round mass in the hilar region. The surface of the tumor was covered with white fur, and the tumor tissue was partially exposed in a map-like pattern. The mass was penetrable even with a guidewire, and it bled easily. Biopsies were performed using biopsy forceps, and the tumor bled easily even with biopsy.
视频1
经口胆管镜检查显示肝门区域有一个直径20毫米、带蒂、漂浮的圆形肿物。肿瘤表面覆盖着白色绒毛，肿瘤组织呈地图状部分外露。即使使用导丝，该肿物也可穿透，且容易出血。使用活检钳进行活检，即使活检时肿瘤也很容易出血。
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