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摘要


一位34歲的臺灣婦女,因右上腹痛及輕微黃疸來本院就診,而被發現在肝左葉有一巨大、罕見的膽道囊腺瘤。組織學上,此囊腺瘤的基質爲一原始間質組織,與卵巢基質相似。在超音波及電腦斷層掃瞄術下,此囊腺瘤呈一奇特的『偏心型』多房構造,以及『囊腫包囊腫』的形態。此種形態爲文獻報告中所未見,因此將此病例之臨床表現,影像檢查結果及病理特徵提出來報告,並同顧文獻,一併討論之。此病例之囊腺瘤輕左肝葉切除術切除後,病人恢復情況良好。

並列摘要


A 33 years old female Taiwanese, who suffered from right upper abdominal pain and mild jaundice for 3-4 days, was found to have a biliary cystadenoma with mesenchymal stroma in the liver. This cystadenoma presented a peculiar 'eccentric” multiloculation and ”cyst in cyst” appearance in ultrasonography and computed tomography. The tumor was resected through left lobectomy; the post-operative course was smooth. The clinical manifestations and pathological pictures of this rare biliary cystadenoma will be presented.

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