胆嚢管原発癌の臨床的・病理組織学的特徴

• 福田 喜一

  新潟大学医学部第1外科

書誌事項

タイトル別名

• Clinical and pathological characteristics of primary carcinoma of the cystic duct
• Acomparative study with primary carcinoma of the gallbladder and the extrahepatic bile duct
• 胆嚢原発癌および胆管癌と対比して

抄録

Clinical and pathological characteristics of primary carcinoma of the cystic duct were studied comparing to those of primary carcinoma of the gallbladder and extrahepatic bile duct. Incidence of co-existing gallstone (13.3%) and male to female ratio (1: 0.2) of the cystic duct carcinoma closely resembled to those of bile duct carcinoma. Acute acalculous cholecystitis was the typical clinical manifestation of cystic duct carcinoma in its early stage, while advanced carcinoma always showed obstructive jaundice due to invasion to the extrahepatic bile duct. Mode of direct extension of cystic duct carcinoma, ie, diffuse invasion into the hepato-duodenal ligament was similar to bile duct carcinoma. On the other hand, pattern of lymph node metastasis resembled to that of carcinoma of the gallbladder. Cumulative 3-year survival rate of cystic duct carcinoma after resection was only 9.1%. For differential diagnosis, it seemed essential to detect morphological change of the cystic duct by means of both direct cholangiography (ERC or PTC) and cholecystography (PTCCG).

収録刊行物

• Tando

  Tando 4 (4), 417-429, 1990

  Japan Biliary Association

キーワード

• 胆嚢癌
• 胆嚢管癌
• 胆管癌

詳細情報

• CRID: 1390001205467381376
• NII論文ID: 130004675904
• DOI: 10.11210/tando1987.4.4_417
• ISSN: 09140077
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可