6例肝内胆管乳头状黏液囊腺瘤的诊疗分析

陈佳骏; 张海阳; 曹学冬; 曲岩; 罗运权

doi:10.3969/j.issn.1001-5256.2019.10.031

6例肝内胆管乳头状黏液囊腺瘤的诊疗分析

DOI: 10.3969/j.issn.1001-5256.2019.10.031

上海中医药大学附属曙光医院肝胆外科

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中图分类号: R735.7
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出版历程
- 出版日期: 2019-10-20

Diagnosis and treatment of intrahepatic biliary papillary mucinous cystadenoma:A report of 6 cases

Department of Hepatobiliary Surgery,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

摘要

摘要: <正>肝内胆管乳头状黏液囊腺瘤是一种罕见的肝脏良性肿瘤,极易复发且有恶变为囊腺癌的可能。常见于成人,女性较男性多发。通常表现为单个的较大的(直径可至15～20 cm)囊性类圆形肿瘤,切开表面可及大小不等的多腔,囊壁较薄,内含黏液。肝内胆管乳头状黏液囊腺瘤被误诊为单纯性肝囊肿或其他肝脏囊性病变,如棘球蚴等也并不少见。由于治疗方式完全不同,肝内胆管乳头状黏液囊腺瘤须与其他囊性肿瘤进行鉴别诊断,其复发率较高,易恶变并可能产生较多并发症,如继发感
- 囊腺瘤,黏液 /
- 诊断 /
- 肝切除术
- cystadenoma,mucinous /
- diagonosis /
- hepatectomy

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参考文献(18)

[1] LOZANO-RAMREZ HE,RAMREZ-MENDOZA P,BERISTAINHERNNDEZ JL. Giant hepatobiliary cystadenoma:Clinic-pathological findings[J]. Rev Esp Enferm Dig,2018,110(9):598.

[2] MARTEL G,ALSHARIF J,AUBIN JM,et al. The management of hepatobiliary cystadenomas:Lessons learned[J]. HPB(Oxford),2013,15(8):617-622.

[3] LANTINGA MA,GEVERS TJ,DRENTH JP. Evaluation of hepatic cystic lesions[J]. World J Gastroenterol,2013,19(23):3543-3554.

[4] YAO DM,XIE SY. Clinical and pathological features of hepatobiliary cystadenoma[J]. Chin Hepatol,2003,8(2):69.(in Chinese)姚德明,谢珊艳.肝胆管交界性囊腺瘤的临床与病理[J].肝脏,2003,8(2):69.

[5] JOEL JM,JEYASINGH SD,KALYANARAMAN S. Biliary Cystadenoma:A case report[J]. J Clin Diagn Res,2016,10(2):19-20.

[6] SOARES KC,ARNAOUTAKIS DJ,KAMEL I,et al. Cystic neoplasms of the liver:Biliary cystadenoma and cystadenocarcinoma[J]. J Am Coll Surg,2014,218(1):119-128.

[7] HANSMAN MF,RYAN JA,HOLMES JH 4th,et al. Management and long-term follow-up of hepatic cysts[J]. Am J Surg,2001,181(5):404-410.

[8] KIM HH,HUR YH,KOH YS,et al. Intrahepatic biliary cystadenoma:Is there really an almost exclusively female predominance?[J]. World J Gastroenterol,2011,17(25):3073-3074.

[9] ABHISHEK S,JINO T,SARIN GZ,et al. An uncommon cause of ascites:Spontaneous rupture of biliary cystadenoma[J].Australas Med J,2014,7(1):6-10.

[10] ARKADOPOULOS N,YIALLOUROU AI,PALIALEXIS C,et al.Inferior vena cava obstruction and collateral circulation as unusual manifestations of hepatobiliary cystadenocarcinoma[J].Hepatobiliary Pancreat Dis Int,2013,12(3):329-331.

[11] QIAN LJ,ZHU J,ZHUANG ZG,et al. Spectrum of multilocular cystic hepatic lesions:CT and MR imaging findings with pathologic correlation[J]. Radiographics,2013,33(5):1419-1433.

[12] LI EL,SHI SD,HUANG Y,et al. Arrangements of hepatobiliary cystadenoma complicated with congenital choledoehal cyst:A case report and literature review[J]. Medicine,2015,94(3):400.

[13] THOMAS KT,WELCH D,TRUEBLOOD A,et al. Effective treatment of biliary cystadenoma[J]. Ann Surg,2005,241(5):769-773.

[14] LI X,ZHANG JL,WANG YH,et al. Hepatobiliary cystadenoma and cystadenocarcinoma:A single center experience[J].Tumori,2013,99(2):261-265.

[15] KOFFRON A,FERRARIO M,RAO S,et al. Intrahepatic biliary cystadenoma(IBC):Role of cyst fluid analysis and surgical management in the laparoscopic era[J]. Surgery,2004,136(4):926-936.

[16] DUA MM,GERRY J,SALLES A,et al. Biliary cystadenoma:A suggested “Cystamatic”approach?[J]. Dig Dis Sci,2016,61(7):1835-1838.

[17] FRAGULIDIS GP,VEZAKIS AI,KONSTANTINIDIS CG,et al.Diagnostic and therapeutic challenges of intrahepatie biliary cystadenoma and cystadenocarcinoma:A report of 10 cases and review of the literature[J]. Int Surg,2015,100(7-8):1212-1219.

[18] CHENG PR,SU Y. A case of intrahepatic biliary cystadenoma[J]. J Clin Hepatol,2018,34(6):1292-1293.(in Chinese)程鹏瑞,苏洋.肝内胆管囊腺瘤1例报告[J].临床肝胆病杂志,2018,34(6):1292-1293.

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