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胆囊混合性腺神经内分泌癌:一例报告及文献复习

Mixed adenoneuroendocrine carcinoma of the gallbladder: a case report and literature review.

作者信息

Kong Fan-Hua, Xu Guo-Dong, Liu Chang-Qing, Ma Hao, Zou Yun-Xuan, Li Xiu-Feng

机构信息

Precision Pathological Diagnosis Center, Weifang People's Hospital (First Affiliated Hospital of Shandong Second Medical University), Weifang, Shandong, China.

Department of Nuclear Medicine, Weifang People's Hospital (First Affiliated Hospital of Shandong Second Medical University), Weifang, Shandong, China.

出版信息

Front Oncol. 2025 Jul 31;15:1584744. doi: 10.3389/fonc.2025.1584744. eCollection 2025.

Abstract

Adenocarcinoma (AC) and neuroendocrine carcinoma (NEC) in the gallbladder originate from glandular epithelium and neuroendocrine cells, respectively. AC and NEC are called mixed AC-NEC (MANEC) when they occur in the same tumor. The present study presents the case of a 57-year-old female individual who was diagnosed with gallbladder space. Gallbladder, S4b+5 resection of liver and hepatic pedicle lymph -node dissection were performed. Postoperative pathology confirmed MANEC in the gallbladder. No metastasis was found in the liver and pedicle lymph nodes. Given the rarity and high degree of malignancy of MANEC originating in the gallbladder, the previous literature was reviewed to enhance the understanding of the diagnosis and treatment of this tumor.

摘要

胆囊腺癌(AC)和神经内分泌癌(NEC)分别起源于腺上皮和神经内分泌细胞。当AC和NEC出现在同一肿瘤中时,称为混合性AC-NEC(MANEC)。本研究报告了一名57岁女性被诊断为胆囊占位的病例。进行了胆囊、肝S4b+5切除及肝门淋巴结清扫术。术后病理证实胆囊为MANEC。肝脏和肝门淋巴结未发现转移。鉴于起源于胆囊的MANEC罕见且恶性程度高,回顾了既往文献以加深对该肿瘤诊断和治疗的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9908/12350106/a02e1c7ec186/fonc-15-1584744-g001.jpg

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