肝内结石伪装成胆管癌1例。

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-02-06 eCollection Date: 2025-02-01 DOI:10.14309/crj.0000000000001607

Alexander S Williams, Michael A Sikes, Scott Liu

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引用次数: 0

摘要

胆管癌（CCA）是一种胆道肿瘤，通常表现为无痛性黄疸、右上腹腹痛和体重意外减轻。血清学检测包括癌抗原19-9 （CA 19-9）在CCA中升高，但在胆道系统炎症过程中也可能升高。诊断是困难的，即使有先进的成像技术也可能出现假阳性。我们提出一个病例，患者升高的ca19 -9和胆道狭窄有关的CCA，但由于肝结石。它显示了正确诊断CCA的挑战和一个非恶性CA 19-9升高的实例。

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An Unusual Case of Intrahepatic Stone Masquerading as Cholangiocarcinoma.

A cancer of the biliary tree, cholangiocarcinoma (CCA) often presents with painless jaundice, right upper quadrant abdominal pain, and unintended weight loss. Serologic testing to include cancer antigen 19-9 (CA 19-9) is elevated in CCA but can also be elevated in inflammatory processes in the biliary system. Diagnosis is difficult and even with advanced imaging techniques false-positives may occur. We present a case of a patient with elevated CA 19-9 and biliary stricture concerning for CCA but was due to hepatic stone. It demonstrates the challenge of correctly diagnosing CCA and an instance of nonmalignant elevation of CA 19-9.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.