Taguchi J, Yasunaga M, Kojiro M, Arita T, Nakayama T, Simokobe T
First Department of Pathology, Kurume University School of Medicine, Japan.
Arch Pathol Lab Med. 1993 Sep;117(9):944-7.
We report a case of biliary papillomatosis that occurred 8 years after resection of a bile duct tumor. In 1982, a 63-year-old man underwent a cholecystectomy because of cholelithiasis. At operation, a solitary tumor was found in the left intrahepatic bile duct, and a lateral hepatic segmentectomy was performed. The tumor was diagnosed as a benign papillary adenoma. In 1990, mild liver dysfunction was revealed in a routine medical examination. Ultrasonography and computed tomography showed a solid tumor measuring approximately 6 cm in diameter in the left hepatic duct. There was no appearance of jaundice during the course. In 1991, a partial hepatic resection and a bile duct resection were performed. At operation, two tumors were found and removed. These tumors were essentially the same as the bile duct tumor resected 8 years ago. They were diagnosed as biliary papillomatosis.
我们报告一例胆管乳头状瘤病，发生于胆管肿瘤切除术后8年。1982年，一名63岁男性因胆结石接受胆囊切除术。手术中，在左肝内胆管发现一个孤立性肿瘤，遂行肝外侧段切除术。该肿瘤被诊断为良性乳头状腺瘤。1990年，在一次常规体检中发现轻度肝功能障碍。超声检查和计算机断层扫描显示左肝管有一个直径约6厘米的实性肿瘤。病程中无黄疸表现。1991年，行部分肝切除术和胆管切除术。手术中发现并切除了两个肿瘤。这些肿瘤与8年前切除的胆管肿瘤基本相同。它们被诊断为胆管乳头状瘤病。
