卵巣様間質が認められた胆嚢管原発肝外胆管粘液嚢胞腺腫の１例

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  • Mucinous Cystadenoma of the Cystic Duct. Case of a Report.

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A 36-year-old woman was admitted to the hospital because of 10 month history of icterus and intermittent liver dysfunction on December 22, 1999. Abdominal ultrasonograph, CT scan and MRI study revealed a cystic lesion at the confluence of bile duct and cystic duct, and a PTCD study revealed stenosis of the common hepatic duct. An angiographic study disclosed no particular findings. Operation was performed on January 18, 2000. The cystic mass was present at the confluence of bile duct, and was able to be dissected from the bile duct, but impossible from the gallbladder. Cholecystectomy including the cystic mass was performed. Intra-operative cholangiography revealed no chages in the stenosis, and then a resection of the extra-hepatic bile duct and a choledocho-jejunostomy were performed. The resected specimen showed cystic degeneration of the cystic duct and mucinous jelly in the cyst. Histopathologically it was diagnosed as a mucinous cyst adenoma with multi-cystic lessions and ovarian-like stroma, which is so rare.

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