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胆管内乳头状肿瘤的临床病理特征及手术治疗:一例报告并文献复习

Clinicopathological features and surgical treatments of intraductal papillary neoplasm of the bile duct: a case report and literature review.

作者信息

Fu Chang, Jin Hengwei, Wang Yongxin, Xu Hongji

机构信息

Department of Hepatobiliary and Pancreatic Surgery, General Surgery Center, The First Hospital of Jilin University, Changchun, China.

Department of Abdominal Surgery, Guiqian International General Hospital, Guiyang, China.

出版信息

Front Med (Lausanne). 2024 Sep 25;11:1443599. doi: 10.3389/fmed.2024.1443599. eCollection 2024.

Abstract

Intraductal papillary neoplasm of bile duct (IPNB), as a precancerous lesion of cholangiocarcinoma, is a rare biliary tract tumor. A 66-year-old female patient was found to have a bile duct mass by routine examination. The liver function tests and tumor markers were normal. Imaging findings revealed a 2.6 cm mass in the common hepatic duct, accompanied by dilatation of both intrahepatic and extrahepatic bile ducts. The patient underwent open extrahepatic bile duct resection, cholecystectomy and Roux-en-Y hepaticojejunostomy. We also conducted a literature review to summarize the clinicopathological features and surgical treatments of IPNB.

摘要

胆管内乳头状肿瘤(IPNB)作为胆管癌的一种癌前病变,是一种罕见的胆道肿瘤。一名66岁女性患者在常规检查中发现胆管肿物。肝功能检查和肿瘤标志物均正常。影像学检查发现肝总管有一个2.6厘米的肿物,同时伴有肝内和肝外胆管扩张。该患者接受了开放性肝外胆管切除术、胆囊切除术和Roux-en-Y肝空肠吻合术。我们还进行了文献综述,以总结IPNB的临床病理特征和手术治疗方法。

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