無黄疸肝門部胆管癌の１切除例

• 武藤 俊博

  愛知県がんセンター中央病院消化器外科

• 清水 泰博

  愛知県がんセンター中央病院消化器外科

• 安井 健三

  愛知県がんセンター中央病院消化器外科

書誌事項

タイトル別名

• A RESECTED CASE OF NON-ICTERIC HILAR CHOLANGIOCARCINOMA

抄録

An asymptomatic 70-year-old man was pointed out liver dysfunction at a medical checkup in January 2005, and consulted another hospital. Because intrahepatic biliary dilatation was revealed by abdominal ultrasonogram and CT scan, he was referred to our hospital in February. When he was first seen, he had no jaundice with the serum total bilirubin of 0.5mg/dL and liver enzymes within normal limits but showed elevated biliary enzyme levels; ALP of 580IU/L and γ-GTP of 191IU/L. On abdominal CT scan and endoscopic retrograde cholangiogram, he was diagnosed as having hilar cholangiocarcinoma of the left hepatic duct (B1), suggestive of intramural spreading of cancer toward the lower bile duct. In March 2005, he underwent left hepatectomy, coudate lobectomy and extrahepatic bile duct resection. The suspected intramural spreading of the common bile duct was pathologically comfirmed to be inflammatory wall thickness.<br> In a review of 12 reported cases of resected hillar cholangiocarcinoma without jaundice, any symptoms were seen in six (50%), elevated biliary enzyme in 12 (92%), and intrahepatic biliary dilatation in 11 (92%) cases. The cancer deeply invaded to subserosal layer (ss) or more in six (50%) cases.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 67 (7), 1652-1657, 2006

  日本臨床外科学会

キーワード

• 肝門部胆管癌
• 無黄疸
• 壁内進展

詳細情報

• CRID: 1390282679826052864
• NII論文ID: 130003605119
• NII論文ID: 10017656603
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.67.1652
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/7/67_7_1652/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2006260285
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可