PDF下载 ( 2296 KB)
Hilar cholangiocarcinoma with bladder metastasis: A case report
-
摘要:
<正>1病例资料患者女性,60岁,因"恶心呕吐3 d"于2018年7月3日入本院。行无痛胃镜及肠镜检查,均未发现明显异常,全腹增强CT（图1 a～c）提示:（1）肝门区胆管、胆总管上段壁厚,考虑肝门区胆管癌;胆囊壁不均匀增厚。（2）膀胱改变,局部壁不规则增厚。入院后查体无明显阳性体征;患者既往无胃肠道疾病病史,仅剖腹产手术史,高血压病史,规律口服降压药,否认肝炎、结核等传染病病史。实验室检查:肿瘤标志物CA19-9> 800
-
关键词:
- Klatskin肿瘤 /
- 膀胱 /
- 肿瘤转移 /
- 病例报告
-
Key words:
- Klatskin tumor /
- urinary bladder /
- neoplasm metastasis /
- case reports
-
[1]WANG TF, CAO SL.Clinical and pathologic characteristics of hilar bile duct cancer[J].Med J Ningbo, 1996, 8 (1) :7-8. (in Chinese) 王天飞, 曹树立.肝门部胆管癌的临床与病理特点[J].宁波医学, 1996, 8 (1) :7-8. [2]DING GH, YANG JH, CHENG SQ, et al.Hilar cholangiocarcinoma with synchronous metastases to breast and skeletal muscle:A case report and literature review[J].The ChineseGerman J Clin Oncol, 2006, 5 (3) :216-218, 229-230. [3]KITAGAWA Y, NAGINO M, KAMIYA J, et al.Lymph node metastasis from hilar cholangiocarcinoma:Audit of 110 patients who underwent regional and paraaortic node dissection[J].Ann Surg, 2001, 233 (3) :385-392. [4]THELEN A, SCHOLZ A, BENCKERT C, et al.Tumor-associated lymphangiogenesis correlates with lymph node metastases and prognosis in hilar cholangiocarcinoma[J].Ann Surg Oncol, 2008, 15 (3) :791-799. [5] LEE WJ, KIM MS, CHANG SE, et al.Multiple cutaneous metastases from hilar cholangiocarcinoma[J].Clin Exp Dermatol, 2009, 34 (5) :e174-e176. [6]CHEN XP, XIANG S.Therapy of hilar cholangiocarcinoma in the precise medicine period[J].Chin J Med Offic, 2018, 17 (1) :3-8. (in Chinese) 陈孝平, 项帅.精准医学时代肝门部胆管癌的治疗[J].中华消化外科杂志, 2018, 17 (1) :3-8. [7]LTO F, CHO CS, RIKKERS LF, et al.Hilar cholangiocarcinoma:Current management[J].Ann Surg, 2009, 250 (2) :210-218. [8]YU Z, XU J, WANG J.Isolated brain metastases prior to locoregional recurrence in hilar Cholangiocarcinoma[J].Mol Clin Oncol, 2017, 6 (6) :899-902. [9]SHAO YF, WU TC, SHAN Y, et al.Clinico-oncological behavior and surgical treatment of perihilar cholangiocarcinoma[J].Oncol Progr, 2006, 4 (3) :192-195. (in Chinese) 邵永孚, 吴铁成, 单毅, 等.肝门部胆管癌的临床肿瘤行为和外科治疗[J].癌症进展, 2006, 4 (3) :192-195. [10]WANG SG, HAN BL, CHEN YS, et al.Pathologic study of metastatic pathway of cholangiocarcinoma[J].Chin J Surg, 1996, 34 (6) :33-35. (in Chinese) 王曙光, 韩本立, 陈意生, 等.胆管癌转移途径的病理学研究[J].中华外科杂志, 1996, 34 (6) :33-35. [11] BANERJEE D, RAGHAVAPURAM S, GEORGE NE, et al.Cholangiocarcinoma presenting as linitis plastica with unusual metastases to the psoas muscle and urinary bladder[J].ACG Case Rep J, 2018 (5) :e51. -
本文二维码
计量
- 文章访问数: 1267
- HTML全文浏览量: 9
- PDF下载量: 290
- 被引次数: 0
下载:
