透過您的圖書館登入
IP:3.149.229.253
  • 期刊

Cholangiocarcinoma with Direct Stomach Invasion: Report of a Case

膽管癌合併直接胃部侵犯:一病例報告

摘要


一位女性病患於過去一個月內腹部逐漸脹大,同時合併有噁心、嘔吐及明顯體重減輕。腹部超音波和電腦斷層檢查顯示總膽管擴張,並於肝臟左葉發現一顆4公分腫瘤且直接進犯侵入胃壁。上消化道內視鏡檢查於胃體部前壁處發現一個明顯的潰瘍性腫瘤,而中央潰瘍性部位向內側凹陷合併有黏液分泌。病理報告證實爲腺癌,具有明顯腺體分化及黏液分泌。黏液分泌性膽管癌合併直接胃部侵犯爲最終診斷。依據我們經驗,目前非常罕見膽管癌合併直接胃部侵犯之文獻報告。

並列摘要


In the past month, a female patient was presented with progressively worsening abdominal distension accompanied by nausea, vomiting, and significant body weight loss. Abdominal ultrasonography and computed tomography revealed dilatation of biliary tract and a 4 cm cyst-like mass at the left hepatic lobe contiguous to the gastric wall. Esophagogastroduodenoscopy revealed a large ulcerative mass covered with mucin-like fluid over the central depressed area at the anterior wall of her gastric body. Pathologic report demonstrated adenocarcinoma with prominent glandular differentiation and mucin production. Mucin-producing cholangiocarcinoma with direct stomach invasion was the most likely diagnosis. To our knowledge, only few reports on mucin-producing cholangiocarcinoma with direct invasion into the stomach have been presented in extant literature.

延伸閱讀