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- W177282020 abstract "症例は58歳女性で, 腹痛, 嘔吐を主訴に来院した.腹部USで急性胆嚢炎と胆嚢の隆起性病変を認め, 同日PTGBDを施行した.ERCPでは最大20mmの紡錘形肝外胆管拡張と, 長さ20mmの嚢腫状の共通管が認められた.PTGBDより採取した胆嚢胆汁の細胞診がclass Vであり, 戸谷分類IVB型胆管拡張を伴う膵胆管合流異常に合併した胆嚢癌と診断し, 肝床切除胆嚢摘出術および胆管切除D2リンパ節郭清と総肝管空腸Roux-en Y吻合術を施行した.摘出標本では胆嚢底部に乳頭状広基性I型隆起とIIa型粘膜内進展部を認めた.病理組織学的には乳頭腺癌でhinf0, binf0, vs0, n0, bw0, hw0, ew0であり深達度は癌組織が一部Rotikansky-Aschoff sinus内に達しているが間質への浸潤はなくm癌であった.膵胆管合流異常に合併した早期胆嚢癌はまれであり, さらに戸谷分類IVB型胆管拡張を伴う症例はきわめてまれなので報告した." @default.
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- W177282020 date "1997-01-01" @default.
- W177282020 modified "2023-09-30" @default.
- W177282020 title "A Case of Early Gallbladder Cancer Associated with Anomalous Arrangement of the Pancreaticobiliary Duct with Dilatation of Common Bile Duct. IVB type by Todani's Classification." @default.
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- W177282020 doi "https://doi.org/10.5833/jjgs.30.1780" @default.
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