Intracholecystic papillary-tubular neoplasm of the gallbladder originating in the cystic duct with extensive intraepithelial progress in the common bile duct
Intracholecystic papillary-tubular neoplasm of the gallbladder originating in the cystic duct with extensive intraepithelial progress in the common bile duct
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DOI：
10.1007/s12328-018-0927-4
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发表时间：
2019-06-01
影响因子：
1
通讯作者：
Ito, Kei
中科院分区：
文献类型：
--
作者：
Fujii, Yuki;Noda, Yutaka;Ito, Kei
一名59岁男性，患有厌食症，有胆囊切除史，被转诊至我院。影像学检查发现残余胆囊管和部分胆总管内有增强肿瘤。内镜逆行胰胆管造影和经口胆管镜检查显示乳头状肿瘤有移动和形状变化。诊断为原发性胆囊管癌，进行了保留胃的胰十二指肠次全切除术。切除标本的显微镜检查显示，残留胆囊管内存在胆囊内乳头状管状肿瘤，形成向胆总管的息肉状突出，并在胆总管内形成广泛的上皮内进展。
A 59-year-old man with anorexia who had a history of cholecystectomy was referred to our hospital. Imaging examinations revealed a contrast-enhanced tumor in the residual cystic duct and a part of the common bile duct. Endoscopic retrograde cholangiopancreatography and peroral-cholangioscopy showed a papillary tumor with movement and a change in the shape. Under a diagnosis of primary cystic duct cancer, subtotal stomach-preserving pancreaticoduodenectomy was performed. The microscopic examination of a resected specimen revealed intracholecystic papillary-tubular neoplasm located in the residual cystic duct, forming a polypoid protrusion to the common bile duct and extensive intraepithelial progress in the common bile duct.