Miyagishima T, Ohnishi S, Chuma M, Kishimoto A, Kumagai K, Ishizuka J, Kobayashi T, Kamiya K, Fujimoto N, Kamiyama T, Ogasawara K, Hata Y, Takahashi T
Department of Medicine, Kushiro Rousai Hospital.
Intern Med. 1996 Sep;35(9):720-3. doi: 10.2169/internalmedicine.35.720.
A 57-year-old woman was admitted for evaluation of liver dysfunction. A physical examination revealed jaundice and a left abdominal mass, which was diagnosed as being a large renal tumor. Cholangiography showed a smooth filling defect 1 cm in diameter at the common bile duct. Left nephrectomy, and resection of the common bile duct were performed. The pathological diagnosis was metastasis of the common bile duct wall resulting from renal cell carcinoma. Metastatic common bile duct tumors are extremely rare. However, it is important to consider that this is one of the causes of obstructive jaundice.
一名57岁女性因肝功能障碍入院评估。体格检查发现黄疸及左腹部肿块，诊断为巨大肾肿瘤。胆管造影显示胆总管有一个直径1厘米的光滑充盈缺损。行左肾切除术及胆总管切除术。病理诊断为肾细胞癌导致的胆总管壁转移。转移性胆总管肿瘤极为罕见。然而，必须考虑到这是梗阻性黄疸的病因之一。
