[Adenocarcinoma in a choledochal cyst. Report of a case and review of the literature].

J Herrera Cabezón, N Herrera Merino, M Díaz del Río Botas, F Pardo Sánchez, F Pereira Pérez, J Abascal Morte
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Abstract

We present a case of cancer of a choledochal cyst in a patient with antecedents of cholecystectomy, who complained of pain in the right hypochondrium. Echography and CAT disclosed a cystic mass of biliary location, and the diagnosis was confirmed by intraoperative cholangiography and biopsy of the cyst margin. Cysto-jejunostomy on a Roux-en-Y loop was performed. The patient survived 11 months and died of tumoral dissemination. We reviewed 130 cases of cancer of a choledochal cyst published up until 1986 and possible etiopathogenic causes, and we discuss the diagnostic problems and related treatment.

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胆总管囊肿中的腺癌。病例报告及文献回顾]。
我们提出一个病例的胆道囊肿癌的病人与胆囊切除术的先例,谁抱怨疼痛在右肋软骨。超声和CAT显示胆道位置囊性肿块,术中胆道造影和囊肿边缘活检证实诊断。采用Roux-en-Y袢进行膀胱空肠吻合术。患者存活11个月后死于肿瘤扩散。我们回顾了自1986年以来发表的130例胆总管囊肿癌及其可能的病因,并讨论了诊断问题和相关治疗。
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