模拟胆管癌的节段性原发性硬化性胆管炎——报告1例并复习日本文献。

T Tsunoda, T Eto, M Yamada, Y Tajima, S Matsuo, R Tsuchiya, T Shiozawa, T Matsuo
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引用次数: 3

摘要

本文报告一例罕见的节段性原发性硬化性胆管炎(PSC)。一位27岁的日本男性梗阻性黄疸被转诊到我院,初步诊断为肝门胆管癌。从右前段胆管插入PTCD管,直接胆管造影显示左右肝管汇合处胆管完全阻塞。切除肝外胆管和部分肝切除术,但术后组织学检查未见恶性特征。相反,病变在显微镜下显示与PSC相容。根据临床特点、胆管造影表现及病理报告最终确定PSC的诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Segmental primary sclerosing cholangitis mimicking bile duct cancer--report of a case and review of the Japanese literature.

A rare case of the segmental type of primary sclerosing cholangitis (PSC) is reported herein. A 27 year old Japanese man with obstructive jaundice was referred to our hospital with a provisional diagnosis of bile duct cancer at the hepatic hilum. A PTCD tube had been inserted from the right anterior segmental duct and direct cholangiograms showed complete obstruction of the bile duct at the confluence of the right and left hepatic ducts. Resection of the extrahepatic bile duct and partial hepatectomy were thus performed, however, the postoperative histological examination revealed no malignant features. Instead, the lesion was shown to be compatible with PSC microscopically. A diagnosis of PSC was finally established on the basis of clinical features, cholangiographic appearance and the pathological report.

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