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肝内肉瘤样胆管癌1例极其罕见病例。

An extremely rare case of intrahepatic sarcomatoid cholangiocarcinoma.

作者信息

Lieu Dau Quang, Anh Tran Ngoc, Hoa Tran-Thi, Phuong Vu-Thi, Duc Nguyen Minh

机构信息

Department of Internal Medicine, Hanoi Medical University Hospital, Hanoi, Vietnam.

Department of Internal Medicine, Hanoi Medical University, Hanoi, Vietnam.

出版信息

Radiol Case Rep. 2023 Jan 5;18(3):968-973. doi: 10.1016/j.radcr.2022.12.001. eCollection 2023 Mar.

Abstract

One uncommon histological subtype of intrahepatic cholangiocarcinoma is sarcomatoid intrahepatic cholangiocarcinoma. Histopathological and immunohistochemical tests are used to diagnose sarcomatoid intrahepatic cholangiocarcinoma, which frequently has a worse prognosis than regular intrahepatic cholangiocarcinoma. The example of a 65-year-old female with sarcomatoid intrahepatic cholangiocarcinoma, who presented with sporadic right upper abdomen discomfort, is discussed in this paper. This case study and literature analysis aims to improve physicians' comprehension of sarcomatoid intrahepatic cholangiocarcinoma and lower the frequency of missed clinical diagnoses.

摘要

肝内胆管癌的一种罕见组织学亚型是肉瘤样肝内胆管癌。组织病理学和免疫组织化学检查用于诊断肉瘤样肝内胆管癌,其预后通常比普通肝内胆管癌更差。本文讨论了一名65岁患有肉瘤样肝内胆管癌的女性病例,该患者表现为散发性右上腹不适。本病例研究和文献分析旨在提高医生对肉瘤样肝内胆管癌的认识,并降低临床漏诊率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d43e/9829551/bcc26cf3686c/gr1.jpg

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