간내담도와 담낭에 발생한 원발성 중복종양
Synchronous Double Primary Carcinoma of the Intrahepatic Bile Duct and the Gallbladder
최영현, 김우영, 이광민, 주명진,
소속 상세정보
최영현 ( Choi Young-Hyun )
전주예수병원 외과
김우영 ( Kim Woo-Young )
전주예수병원 외과
이광민 ( Lee Kwang-Min )
전주예수병원 해부병리과
주명진 ( Ju Myoung-Jin )
전주예수병원 해부병리과
KMID : 0371320030650060582
Abstract
A 66-year-old male was admitted to the department of surgery, at the Presbyterian Medical Center due to right upper quadrant pain. Tumor marker studies reported CEA and CA19-9 elevation. Liver function test was normal. Ultrasonography and computed tomography showed a single infiltrative tumor in the left lobe of liver, multiple lymphadenopathies around the common hepatic duct and intrahepatic bile duct dilatation of the left lobe. The gallbladder was nonspecific. During laparotomy, we found an ill-marginated and infiltrative tumor in the left lobe of liver, multiple enlarged lymph nodes around the common hepatic duct and cystic duct, and mild thickening of the gallbladder fundus wall. Left hepatic lobectomy and cholecystectomy were performed. Pathologic findings revealed that the liver tumor was a moderated differentiated adenocarcinoma with extension to the pericystic and pericommon hepatic lymph nodes and focal adenocarcinoma in situ of gallbladder mucosal wall with clear cystic duct resection margin. We therefore report a rare case of synchronous double primary cancer of the intrahepatic bile duct and gallbladder.
키워드
원발성 중복 종양;간내 담도;담낭;Synchronous double primary cancer;Intrahepatic bile duct;Gallbladder
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