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一例伴复发性黄疸的胆管囊腺癌。计算机断层扫描的诊断评估。

A case of biliary cystadenocarcinoma with recurrent jaundice. Diagnostic evaluation of computed tomography.

作者信息

Kanamori H, Kawahara H, Oh S, Mine T, Osawa H, Murakami T, Ogata E

出版信息

Cancer. 1985 Jun 1;55(11):2722-4. doi: 10.1002/1097-0142(19850601)55:11<2722::aid-cncr2820551133>3.0.co;2-6.

Abstract

A 73-year-old male patient with biliary cystadenocarcinoma and episodes of recurrent jaundice is reported. This very rare tumor was suggested as a possible diagnosis by the computed tomographic findings showing intrahepatic cystic masses with septations and papillary projections. The diagnosis of the mucin-producing tumor was supported by aspiration of mucinous bile with a cannule inserted endoscopically via the major duodenal papilla. The computed tomographic findings and the diagnosis were verified by pathologic studies made on the material obtained surgically. The mucinous bile is assumed to have been responsible for the recurrent jaundice.

摘要

报告了一名73岁男性胆管囊腺癌患者,伴有反复黄疸发作。计算机断层扫描结果显示肝内有带分隔和乳头状突起的囊性肿块,提示可能为这种非常罕见的肿瘤。通过经十二指肠大乳头内镜插入套管抽吸黏液性胆汁,支持了黏液产生性肿瘤的诊断。通过对手术获取材料进行病理研究,证实了计算机断层扫描结果和诊断。黏液性胆汁被认为是反复黄疸的原因。

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