ＡＦＰおよびＣＥＡ産生性胆嚢癌の１切除例

• 市原 利晃

  本荘第一病院外科

• 斉藤 孝

  本荘第一病院外科

• 鈴木 克彦

  本荘第一病院外科

書誌事項

タイトル別名

• A Case of Alpha-fetoprotein, Carcinoembryonic Antigen-producing Gallbladder Cancer.

抄録

This report presents a 70-year-old man with gallbladder tumor, which was detected by ultrasonographic study at a near by clinic. The patient was referred to our hospital for further examination and treatment. On admission, alpha-fetoprotein (AFP) value was 336 ng/ml and carcinoembryonic antigen (CEA) 32 ng/ml. Ultrasonography, computed tomography and magnetic resonance imaging studies showed irregularity of the gallbladder wall. Angiography revealed a hypervascular tumor surrounded by several thick vessels. Based on a diagnosis of gallbladder cancer, partial hepatectomy (segment 4a, 5, and parts of 6 and 8), cholecystectomy and cholangiojejunostomy were performed. The resected tumor was 7×5×5 cm in size, and had invaded to the liver bed and the intrahepatic bile duct. Histopathological diagnosis was moderately differentiated adeno-carcinoma of the gallbladder. On the 42th postoperative day, AFP was 4 ng/ml and CEA 1.4ng/ml indicating normalized values. The localization of tumor markers was different in cancer cells. There have been 20 re-ports of AFP, CEA-producing gallbladder cancer in Japan. Almost all cases had liver metastasis.

収録刊行物

• 日本消化器外科学会雑誌

  日本消化器外科学会雑誌 33 (6), 730-734, 2000

  一般社団法人 日本消化器外科学会

キーワード

• alpha-fetoprotein
• carcinoembryonic antigen
• gallbladder cancer

詳細情報

• CRID: 1390282679891646080
• NII論文ID: 130004117356
• NII論文ID: 110001337592
• NII書誌ID: AN00192066
• DOI: 10.5833/jjgs.33.730
• ISSN: 13489372
• ISSN: 03869768
• Web Site: https://www.jstage.jst.go.jp/article/jjgs1969/33/6/33_6_730/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2000273189
• 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