간내 담관의 국소확장 형태로 나타난 점액 분비성 간내 담관암
Mucin-Producing Intrahepatic Cholangiocellular Carcinoma Presenting as a Focal Dilatation of the Intrahepatic Bile Duct
김주동, 장혁재, 조용필, 김용호, 정승문, 강길현, 한명식,
소속 상세정보
김주동 ( Kim Joo-Dong )
울산대학교 의과대학 서울아산병원 외과학교실
장혁재 ( Jang Hyuk-Jai )
울산대학교 의과대학 강릉아산병원 외과학교실
조용필 ( Cho Yong-Pil )
울산대학교 의과대학 강릉아산병원 외과학교실
김용호 ( Kim Yong-Ho )
울산대학교 의과대학 강릉아산병원 외과
정승문 ( Jung Seung-Mun )
울산대학교 의과대학 강릉아산병원 진단방사선과
강길현 ( Kang Gil-Hyun )
울산대학교 의과대학 강릉아산병원 진단병리과
한명식 ( Han Myoung-Sik )
울산대학교 의과대학 강릉아산병원 외과학교실
KMID : 0371320040660040354
Abstract
A case of a mucin-producing intrahepatic cholangiocellular carcinoma (MPCC) is reported, A 58-year old female presented with epigastric discomfort of several years duration, The physical examination and laboratory findings were normal. Abdominal ultrasonography (US) and computed tomography (CT) showed a focal dilatation of the right posterior intrahepatic bile duct. There was no abnormal mass in the liver parenchyma. Endoscopic retrograde cholangiopancrea icography (ERCP) showed a filling defect in the right posterio hepatic duct. There was no anatomical abnormality and abnormal staining on the heaptic angiography. At the operation, the right posterior hepatic duct was filled with mucin. The patient had a right posterior segmentectomy. Histologically, a 2.5×0.6×0.6 cm sized mucin-producing intrahepatic cholangiocellular carcinoma was found in segment 6 of the liver. The postoperative recovery was good, and the patient has had a good social life for the last 3 years with no evidence of tumor recurrence. In patients with a local dilatation of the intrahepatic bile duct on CT or US with no underlying cause, an intrahepatic malignancy has to be suspected.
키워드
점액 분비성 간내담관암;간내담관의 국소 확장;Mucin-producing intrahepatic cholangiocellular carcinoma;MPCC;Focal dilatation of intrahepatic bile duct
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