复发性急性胆管炎患者并发胆道错构瘤的肝内胆管癌:一例报告和文献复习。

Sang Min Lee, Ki Bae Kim, Joung-Ho Han, Chang Gok Woo, Hee Bok Chae, Seon Mee Park
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引用次数: 0

摘要

胆道错构瘤是肝脏的肿瘤样畸形。胆道错构瘤是一种起源于导管板畸形的纤维囊性疾病,通常被认为是良性的,但有恶变的风险。在本病例报告中,我们提出了一种罕见的由胆道错构瘤发展而来的肝内胆管癌(ICC),并进行了文献综述。一位76岁的男性被诊断为胆道错构瘤,有12年的复发性胆管炎病史,需要进行胆囊切除术、ERCP和反复的抗生素治疗。在他的最后一次发作中,影像学研究显示右肝后段有一个血管性浸润性肿块。肝活检证实腺癌和随后的手术病理显示ICC源于胆道错构瘤。如本例所观察到的,与胆道错构瘤相关的胆管慢性炎症可能是恶性转化的潜在诱因。因此,对出现感染性并发症的胆道错构瘤患者进行密切监测是至关重要的。
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Intrahepatic Cholangiocarcinoma Arising from Biliary Hamartomas in Patients with Recurrent Acute Cholangitis: A Case Report and Literature Review.

Biliary hamartomas are tumor-like malformations of the liver. Biliary hamartomas are a type of fibrocystic disorder originating from ductal plate malformation and are typically considered benign, but with the risk of malignant transformation. In this case report, we present a rare occurrence of intrahepatic cholangiocarcinoma (ICC) that developed from biliary hamartomas, along with a literature review. A 76-year-old man with a diagnosis of biliary hamartomas had a history of recurrent cholangitis for 12 years, necessitating cholecystectomy, ERCP, and repeated antibiotic treatments. During his last episode, imaging studies revealed a hypervascular infiltrative mass in the right posterior liver segment. A liver biopsy confirmed adenocarcinoma and subsequent surgical pathology revealed ICC originating from biliary hamartomas. Chronic inflammation in the bile duct associated with biliary hamartomas may serve as a potential trigger for malignant transformation, as observed in this case. Therefore, close surveillance is essential for patients with biliary hamartomas presenting with infectious complications.

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