PDF下载 ( 1571 KB)
Four misdiagnosed cases of cholangiocarcinoma
-
摘要:
<正>1病例资料病例1,女性患者,50岁,因"皮肤瘙痒1个月,乏力、黄疸10余天"于2011年1月28日入院。无发热、恶心、腹胀及腹痛,每日排不成形黄色稀便4~5次;查体:周身散在搔抓痕,伴出血点,皮肤及巩膜重度黄染,腹部无压痛,墨菲征阴性;肝炎病毒标志物均阴性,甘油三脂6.36 mmol/L,胆固醇7.58 mmol/L。肝CT平扫示:肝表面花边样改变,各叶比例失调,肝门、肝裂增宽,
-
Key words:
- biled duct neoplasms /
- diagnostic errors /
- case reports
-
[1]MALHI H,GORES GJ.Review article:the modern diagnosis and therapy of cholangioearcinoma[J].Aliment Pharmacol Ther,2006,23(9):1287-1296. [2]CHAPMAN R,FEVERY J,KALLOO A,et al.Diagnosis and management of primary sclerosing cholangitis[J].Hepatology,2010,51(2):660-678. [3]CHALASANIC N,BALUYUT A,ISMAIL A,et al.Cholangiocarcinoma in patients with primary sclerosing cholangitis:a multicenter case control study[J].Hepatology,2000,31(1):7-11. [4]JEMAL A,SIEGEL R,WARD E,et al.Cancer statistics,2008[J].CA Cancer J Clin,2008,58(2):71-96. [5]Chinese Chapter of International Hepato-Pancreato-Biliary Association,Hepatic Sugery Group,Chinese Society of Surgery,Chinese Medical Association.Diagnosis and treatment of cholangiocarcinoma:sugical expert consensus[J].J Clin Hepatol,2015,31(1):12-16.(in Chinese)国际肝胆胰学会中国分会,中华医学会外科学分会肝脏外科学组.胆管癌诊断与治疗——外科专家共识[J].临床肝胆病杂志,2015,31(1):12-16. [6]LIU MZ,LI H,ZHANG W.Eougebinuc research progress on pathological mechanisms of intrahepatic cholangiocarcinoma[J].Chin J Clin Pharmacd Ther,2014,19(11):1294-1298.(in Chinese)刘谋泽,李浩,张伟.肝内肝管癌病理机制表观基因组学研究进展[J].中国临床药理学与治疗学,2014,19(11):1294-1298. -
本文二维码
计量
- 文章访问数: 2233
- HTML全文浏览量: 8
- PDF下载量: 439
- 被引次数: 0
下载:
