Hayashi N, Yamaguchi Y, Ogawa M
Department of Surgery II, Kumamoto University Medical School, Japan.
J Gastroenterol Hepatol. 1993 Nov-Dec;8(6):607-12. doi: 10.1111/j.1440-1746.1993.tb01660.x.
We report a 59 year old male with obstructive jaundice and a clinical diagnosis of carcinoma of the midportion of the common bile duct. Examination of the surgical specimen revealed a small tumour in the neck of the gall-bladder. Histologic examination revealed the tumour in the common bile duct was an adenosquamous carcinoma whereas that in the gall-bladder was an early papillary adenocarcinoma. Thus, this is a rare case of the simultaneous development of adenosquamous carcinoma and early papillary adenocarcinoma in the biliary tree.
我们报告一例59岁男性，患有梗阻性黄疸，临床诊断为胆总管中段癌。手术标本检查发现胆囊颈部有一个小肿瘤。组织学检查显示，胆总管中的肿瘤为腺鳞癌，而胆囊中的肿瘤为早期乳头状腺癌。因此，这是一例罕见的胆道系统同时发生腺鳞癌和早期乳头状腺癌的病例。
