肝泡型包虫病误诊为肝内胆管癌1例报告

赵凯; 王志鑫; 温生宝; 王海久; 樊海宁; 任利

doi:10.3969/j.issn.1001-5256.2021.05.042

肝泡型包虫病误诊为肝内胆管癌1例报告

DOI: 10.3969/j.issn.1001-5256.2021.05.042

a.
青海大学附属医院肝胆胰外科，西宁 810001
b.
青海大学附属医院影像中心，西宁 810001

基金项目:

青海省科技厅重大科技专项 (2016-SF-A5);

青海大学中青年科研基金项目 (2016-QYY-4);

青海大学附属医院中青年科研基金重点项目 (ASRF-2016-01)

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：赵凯负责资料收集及分析，撰写论文; 王志鑫、温生宝负责论文修改；王海久、樊海宁负责拟定写作思路和资料分析；任利负责指导文章撰写、最后定稿。

详细信息

作者简介:
赵凯(1991—)，男，主要从事肝胆胰外科、肝包虫病学研究

通信作者:
任利, renliweimin_xn@126.com

中图分类号: R532.32
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- 被引次数: 0
出版历程
- 收稿日期: 2020-10-25
- 录用日期: 2020-12-04
- 出版日期: 2021-05-20

Hepatic alveolar echinococcosis misdiagnosed as intrahepatic cholangiocarcinoma: A case report

a.
Department of Hepatopancreatobiliary Surgery, Qinghai University Affiliated Hospital, Xining 810001, China
b.
Department of Medical Imaging Center, Qinghai University Affiliated Hospital, Xining 810001, China

摘要

- 棘球蚴病，肝 /
- 胆管上皮癌 /
- 误诊
- Echinococcosis, Hepatic /
- Cholangiocarcinoma /
- Diagnostic Errors

HTML全文

图 1 肝脏影像学表现

注：a、b、c、d，为腹部CT检查。肝S2~3段见不规则低密度影，约7.51 cm×6.43 cm，CT值约11 HU，增强扫描动脉期可见条状血管样强化，后期强化明显，其内可见不规则强化区域，肿块邻近区域的肝内胆管明显扩张、迂曲；肝门部多发肿大淋巴结影；e、f、g、h，为腹部MRI检查。肝S2~3段可见不规则肿块影，呈长T1长T2，呈明显高信号，边界欠清晰，增强检查边缘渐进性强化，其内可见不规则强化区域，肿块邻近区域的肝内胆管明显扩张、迂曲；肝门可见多发肿大淋巴结影。

下载: 全尺寸图片幻灯片

图 2 术后标本及组织病理学结果

注：a，术后标本。可见4.5 cm×3.8 cm×4 cm灰黄色肿物，肿物突出于肝脏背膜，剖开可见一直径约为2 cm囊腔，内部含有脓液；b，组织病理学结果(HE染色，×200)。肝组织出现大片坏死，坏死病灶周围有类上皮细胞增生，伴较多淋巴细胞及嗜酸性粒细胞浸润，提示肝泡型包虫病感染。

下载: 全尺寸图片幻灯片

参考文献(9)

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