書誌事項
- タイトル別名
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- A resected case of bile duct cystadenocarcinoma
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説明
We report a case of bile duct cystadenocarcinoma of the liver. A 68-year old man, complaining of right hypochondralgia, was admitted to our University hospital. Abdominal ultrasonography and computed tomography (CT) revealed the presence of a cystic lesion,7 cm in diameter with an enhanced solid lesion in the lateral segment of the liver. The angiography showed an enhanced peripheral staining of the cystic leasion. These findings suggested bile duct cystadenocarcinoma. The CT also showed the another lesion,2 cm in diameter, in the segment 5 of the liver and carcinoma cannot be completely ruled out. After confirming that adenocarcinoma was present in the lateral segment by frozen section diagnosis of the needle biopsy specimen, left hepatic trisegmentectomy, caudate lobectomy, extrahepatic bile duct resection and lymph node dissection were performed. Histopathologically, the main cystic tumor was composed of mucin and proliferated well differentiated papillary adenocarcinoma invading the surrounding capsule and stroma. The final diagnosis was bile duct cystadenocarcinoma and lymph node metastasis was absent. However, the lesion in the segment 5 of the liver showed hyalinizing degenerative tissue without malignant cells. The postoperative course was uneventful and he is alive without recurrence for 15 months after surgery.
収録刊行物
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- Tando
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Tando 19 (2), 166-170, 2005
Japan Biliary Association
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詳細情報 詳細情報について
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- CRID
- 1390001205465030400
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- NII論文ID
- 130004675772
- 10031122792
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- NII書誌ID
- AN10062001
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- ISSN
- 09140077
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
