Tsunekawa H, Suga S, Miyata K, Shimaji T
Gastroenterol Jpn. 1977;12(6):490-4. doi: 10.1007/BF02781343.
It is rather seldom to detect a cancer of the common bile duct at the non-icteric stage of the disease. This report presents a non-icteric case of carcinoma of the choledochus. A 70-year-old woman complained of r-hypochondralgia with occasional fever. Laboratory examination revealed an increased serum alkaline phosphatase activity without any elevation of serum bilirubin content. The oral cholecystography failed to visualize the gallbladder. By endoscopic retrograde cholangiopancreatography (ERCP), a bilateral filling defect was demonstrated at the common bile duct. Pancreatoduodenectomy was performed and the resected specimen showed a 1 X 2 cm tumor (adenocarcinoma) at the choledochus. She is now in good health over 13 months after operation.
在疾病的非黄疸期检测到胆总管癌相当少见。本报告呈现了一例胆总管癌的非黄疸病例。一名70岁女性主诉右季肋部疼痛并偶尔发热。实验室检查显示血清碱性磷酸酶活性升高，而血清胆红素含量未升高。口服胆囊造影未能显示胆囊。通过内镜逆行胰胆管造影（ERCP），在胆总管处显示出双侧充盈缺损。实施了胰十二指肠切除术，切除标本显示胆总管处有一个1×2厘米的肿瘤（腺癌）。术后13个多月来，她目前健康状况良好。
