肝总管原发性神经内分泌瘤1例
Chinese Journal of Diagnostic Pathology（2021）
Abstract
患者女性,56岁,因右上腹疼痛1年余,加重7天收住院.腹部B超检查显示:肝回声增强,胆囊结石.初步诊断:胆囊结石伴慢性胆囊炎.入院后腹部MRI检查显示:肝门区可见不规则稍长T2WI等T1WI软组织信号影,大小范围约1.3 cm× 1.6 cm,肝总管呈中断改变,边界欠清晰;肝实质内未见明确异常信号,肝内胆管轻度扩张;胆囊大小形态可,胆囊内胆汁淤积分层伴散在结节状短T12WI低信号影充填;胆总管及胰管未见明显扩张及明确异常信号影(图1),腹膜后未见肿大淋巴结.患者既往无肿瘤病史,全身检查未见其他脏器病变.于我院进行胆囊切除+肝总管占位病变切除+肝总管-空肠Roux-en-Y吻合+腹腔冲洗引流术.
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