Cholangiocarcinoma in choledochal cyst after cystoenterostomy: how a mistreated choledochal cyst can progress to malignancy.
Cholangiocarcinoma in choledochal cyst after cystoenterostomy: how a mistreated choledochal cyst can progress to malignancy.
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DOI：
10.14701/ahbps.2016.20.4.201
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发表时间：
2016-11
期刊：
影响因子：
--
通讯作者：
Choi YK
中科院分区：
文献类型：
--
作者：
Baik H;Park YH;Seo SH;An MS;Kim KH;Bae KB;Choi CS;Oh SH;Choi YK
本病例报告一例胆总管囊肿胆总管十二指肠吻合术后近35年发生胆管癌的罕见病例。患者因消化不良到本院就诊，研究发现胆汁和食物反流引起的胆总管囊肿内有牛黄。患者接受了胰腺十二指肠切除术，活检显示为腺癌，IIB期。19个月后，患者至今没有复发，恢复良好。本病例表明，对先天性胆总管囊肿患者进行适当的手术治疗和细致的长期随访是非常必要的。
This case report presents an unusual case of cholangiocarcinoma arising nearly 35 years after cystoduodenostomy for choledochal cyst. The patient visited our hospital with dyspepsia and studies revealed bezoar within the choledochal cyst caused by bile and food reflux. The patient underwent pancreaticoduodenectomy and a biopsy revealed adenocarcinoma, stage IIB. After 19 months, the patient has no recurrence to date and has recovered well. This case shows that proper surgical management and meticulous, long-term follow-up is imperative for patients with congenital choledochal cyst.