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無黄疸で発見された粘膜内胆管癌の1例
http://hdl.handle.net/10110/2183
http://hdl.handle.net/10110/21832553fb56-caa5-40f0-bfd7-00521ddb2b46
名前 / ファイル | ライセンス | アクション |
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shoukakigeka99-1217.pdf (1.4 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2008-02-07 | |||||
タイトル | ||||||
タイトル | 無黄疸で発見された粘膜内胆管癌の1例 | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | early bile duct carcinoma | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | no jaundice of bile duct carcinoma | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | papillary adenocarcinoma of bile duct | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
塚田, 一博
× 塚田, 一博× 黒木, 嘉人× 小田切, 春洋× 坂本, 隆 |
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著者別名 | ||||||
姓名 | Tsukada, Kazuhiro | |||||
著者別名 | ||||||
姓名 | Kuroki, Yoshito | |||||
著者別名 | ||||||
姓名 | Odagiri, Syunyou | |||||
著者別名 | ||||||
姓名 | Sakamoto, Takashi | |||||
その他(別言語等)のタイトル | ||||||
その他のタイトル | A Case of Carcinoma in the Mucosal Layer of the Bile Duct without Jaundice | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 黄疸の発症する前の胆管癌の早期診断はいまだ困難であるが, 今回, 我々は初診時に無黄疸の粘膜内胆管癌の1例を経験した. 症例は72歳の女性. 火事による気道, 角膜熱傷などにて当院に入院したが, 入院時検査から持続する肝胆道系酵素の上昇を認めた. USとCTにて下部胆管に腫瘤像を認め, ERCPにて4.5cm長の結節集族様の陰影欠損を認めた. 全胃幽門輪温存膵頭十二指腸切除術施行し, 術中操作にて腫瘍は一部脱落したが, 切除標本では乳頭状に増殖する連続性のない2個の病変(1.2×1.2cm, 1.8×0.9cm)が見られた. 病理組織像はいずれも粘膜内に限局した乳頭腺癌であった(pap, m, med, INFα, ly_0, v_0, pn_0, hinf_0, ginf_0, panc_0, du_0, pv_0, a_0, n(-), hm_0, dm_0,em_0, t_1, stageI, curA). 術後17か月現在, 再発なく外来通院中である. A diagnosis of bile duct carcinoma is difficult to make in the early stage before the onset of jaundice. We report here, a patient with carcinoma in the mucosal layer of the bile duct, who was without jaundice, and who was diagnosed in the early stage. The patient was a 72-year-old woman who was admitted to our hospital because of a burn that occurred in her home. She exhibited liver dysfunction (elevation of GOT, GPT, ALP and γ-GTP) but without jaundice. Ultrasonography and computed tomography showed dilatation of the bile duct and a mass in the lower third portion of the extrahepatic bile duct. Endoscopic retrograde cholangiography revealed a 4.5 cm filling defect in the bile duct, and magnetic resonance cholangiography showed similar findings. Subsequently, pylorus-preserving pancreato-duodenectomy was performed. Pathological analysis revealed 2 papillary tumors (12×12 mm, and 18×9 mm in size) in the bile duct, which were characterized as papillary adenocarcinoma located in the mucosal layer with no lymph node metastasis (Bi, pap, m, hinf_0, ginf_0, panc_0, du_0, pv_0, a_0, n (-) , stage I) . The patient has been well for 17 months after surgery without recurrence. |
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書誌情報 |
日本消化器外科学会雑誌 : The Japanese journal of gastroenterological surgery 巻 32, 号 5, p. 1217-1221, 発行日 1999-05 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 3869768 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00192066 | |||||
権利 | ||||||
権利情報 | rights: 本文データは日本消化器外科学会の許諾に基づき、CiNiiから複製したものである | |||||
フォーマット | ||||||
内容記述タイプ | Other | |||||
内容記述 | application/pdf | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
出版者 | ||||||
出版者 | 日本消化器外科学会 | |||||
資源タイプ(DSpace) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Article |