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1例肝肉瘤样胆管癌侵犯膈肌及右下肺叶

A case of hepatic sarcomatoid cholangiocarcinoma with diaphragmatic and right lower lobe lung invasion.

作者信息

Tsai Tsung Chiao, Su Che Min

机构信息

General Surgical Department, National Cheng Kung University Hospital, No. 138, Shengli Rd., North Dist., Tainan City 704, Taiwan (R.O.C.).

出版信息

J Surg Case Rep. 2025 Feb 10;2025(2):rjaf047. doi: 10.1093/jscr/rjaf047. eCollection 2025 Feb.

Abstract

Hepatic sarcomatoid cholangiocarcinoma is a rare, accounting for <1% of cases and aggressive malignant neoplasm. This report presents a case of a 35-year-old female patient who presented with right shoulder pain, general weakness, anorexia, and weight loss. Imaging studies revealed a hepatic mass in segment S8, with invasion into the diaphragm and right lower lobe of the lung. The patient underwent surgical resection, and the pathological diagnosis confirmed hepatic sarcomatoid cholangiocarcinoma. This case report discusses the clinical presentation, diagnosis, and treatment of this rare malignancy, emphasizing the importance of early diagnosis and aggressive management.

摘要

肝肉瘤样胆管癌是一种罕见的侵袭性恶性肿瘤,占病例的不到1%。本报告介绍了一名35岁女性患者的病例,该患者出现右肩疼痛、全身乏力、厌食和体重减轻。影像学检查显示肝S8段有一肿块,侵犯膈肌和右肺下叶。患者接受了手术切除,病理诊断证实为肝肉瘤样胆管癌。本病例报告讨论了这种罕见恶性肿瘤的临床表现、诊断和治疗,强调了早期诊断和积极治疗的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b300/11809243/fc7c81d5ed5c/rjaf047f1.jpg

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