- 期刊
Biliary Cystadenocarcinoma Associated with Atrophy of the Left Hepatic Lobe and Hepatolithiasis Mimicking Intrahepatic Cholangiocarcinoma: A Case Report
膽管囊腺癌合併肝左葉萎縮及肝內膽管結石擬似肝內膽管癌表現－病例報告
並列摘要
Biliary cystadenocarcinoma and its benign counterpart, biliary cystadenoma, are rare hepatic cystic tumors arising from the hepatobiliary epithelium. We report the case of a 68-year-old Taiwanese woman who presented initially with acute cholangitis. A series of imaging studies including abdominal ultrasound, computerized tomography, endoscopic retrograde cholangiopancreatography, and percutaneous transhepatic cholangiography showed bilateral intrahepatic duct (IHD) and common bile duct (CBD) stones with IHD and CBD dilatation, and an ill-defined tumor within the atrophied left hepatic lobe. The patient underwent surgical resection of the tumor and choledocholithotomy. The pathologic diagnosis was biliary cystadenocarcinoma. We review this rare disease entity and discuss its unusual radiologic features mimicking intrahepatic cholangiocarcinoma.
延伸閱讀
- 劉松鈞、李岡龍、葉奕成（2022）。放射影像（一一六）肝臟黏液囊性腫瘤與膽管導管內乳頭狀瘤。臨床醫學月刊，90(1)，492-501。https://doi.org/10.6666/ClinMed.202207_90(1).0078
- 張俊梁、曹唐義、曾暉華、杜炎昌、謝煥發、侯武郁（1990）。一罕見之肝外膽管腺鱗狀上皮癌－病例報告及文獻回顧。Journal of Medical Sciences，10(4)，253-258。https://www.airitilibrary.com/Article/Detail?DocID=10114564-199008-201308010014-201308010014-253-258
- 蔡宗龍、王嘉齊、楊培銘、許金川（1998）。肝內膽管癌合併鈣化及菌血症：一病例報告。台灣醫學，2(2)，148-153。https://doi.org/10.6320/FJM.1998.2(2).04
- 吳美環、林季珍、陳秋江（1982）。先天性肝內膽道擴張症（Caroli氏疾病）併總膽管囊腫。Acta Paediatrica Sinica，23(4)，265-269。https://www.airitilibrary.com/Article/Detail?DocID=00016578-198212-23-4-265-269-a
- Fang, Y. J., Yang, C. C., Yeh, Y. H., Liu, Y. T., Lin, C. L., Wu, C. S., Chen, C. H., & Kuo, C. L. (2002). 膽囊動脈僞動脈瘤合併膽道出血：一病例報告. 臺灣消化醫學雜誌, 19(2), 161-168. https://doi.org/10.6557/GJT.200206_19(2).0007