ＰＴＣＳが進展範囲診断および術式選択に有用であった粘液産生性胆管癌の１例

• 安積 良紀

  済生会松阪総合病院外科

• 加藤 宏之

  済生会松阪総合病院外科

• 北川 真人

  済生会松阪総合病院外科

• 田中 穣

  済生会松阪総合病院外科

• 長沼 達史

  済生会松阪総合病院外科

• 藤森 健而

  済生会松阪総合病院外科

書誌事項

タイトル別名

• A CASE OF MUCUS PRODUCING CHOLANGIOCARCINOMA IN WHICH PTCS WAS USEFUL FOR DIAGNOSING THE EXTENTION OF INVASION AND CHOOSING THE MODALITY OF SURGICAL TREATMENT

抄録

Mucus producing cholangiocarcinoma secrets large amount of mucus and is often difficult to make diagnosis accompanied with varieties of symptoms and pictures in image studies. We report a case of mucus producing cholangiocarcinoma in which PTCS was useful in making diagnosis and selecting the choice of surgical treatment. The patient was 78-year-old female who presented to us with general malaise, anorexia and fever. The blood test revealed the presence of mild inflammation, mild elevation of hepatic enzymes and CEA. The intrahepatic and common bile ducts revealed significant dilatation in US and CT studies and abnormal images in ERCP. The study with PTCS revealed mucoid and granular disease in the intrahepatic ducts of posterior segment and common bile duct. Accordingly, the diagnosis of mucus producing cholangiocarcinoma was strongly suspected and resection of posterior hepatic segment, extrahepatic bile duct and removal of D2 lymphnodes were performed on Dec. 10^th, 2001. The pathological diagnosis was well differentiated adenocarcinoma arising in papillomatosis. The patient is surviving without sign of recurrence three years after the operation.

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 66 (6), 1433-1438, 2005

  日本臨床外科学会

キーワード

• 粘液産生胆管癌

詳細情報

• CRID: 1390001204848614528
• NII論文ID: 130003604501
• NII論文ID: 10016461507
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.66.1433
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/66/6/66_6_1433/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2005214162
• 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