Metastatic Biliary Stricture with "Beaded" Appearance from Cervical Adenocarcinoma.

Soon Liang Lee, Jasminder Sidhu, Chiun Yann Ng
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Abstract

Cervical adenocarcinoma accounts for 25% of invasive cervical cancer which frequently metastasize distantly to the lungs, liver, bone, and brain. Metastases to the common bile duct from cervical cancer are exceedingly rare with few reported cases in the literature. Diagnosis of bile duct metastases from cervical cancer can be established with endoscopic ultrasound-guided fine-needle aspiration cytology, biliary cytobrushing, or direct cholangioscopy with biopsy, and this would guide further therapies such as endoscopic biliary drainage and systemic chemotherapy. We hereby present a rare case of obstructive jaundice from metastatic biliary stricture with "beaded" appearance in a patient with cervical adenocarcinoma. How to cite this article: Lee SL, Sidhu J, Ng CY. Metastatic Biliary Stricture with "Beaded" Appearance from Cervical Adenocarcinoma. Euroasian J Hepato-Gastroenterol 2021;11(2):97-99.

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宫颈腺癌转移性胆道狭窄伴“珠状”外观。
宫颈腺癌占浸润性宫颈癌的25%,它经常远处转移到肺、肝、骨和脑。从子宫颈癌转移到胆总管是非常罕见的,文献中很少报道。宫颈癌胆管转移的诊断可以通过内镜下超声引导下的细针穿刺细胞学检查、胆道细胞刷片或直接胆道镜检查结合活检来确定,这将指导进一步的治疗,如内镜下胆道引流和全身化疗。我们在此报告一例罕见的由转移性胆道狭窄引起的梗阻性黄疸,并伴有子宫颈腺癌。引用本文:李少林,Sidhu J, Ng CY.宫颈腺癌转移性胆道狭窄伴“珠状”外观。中华肝病与胃肠病杂志;2011;11(2):97-99。
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