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- W2497231837 abstract "症例は76歳の男性で，1998年にS状結腸癌に対してS状結腸切除術を受けた．病理組織学的診断はtub2，ss，n（–），ly0，v0，Stage IIであった．2009年7月に近医血液検査で肝機能異常を指摘され当院を受診した．CTで右前区域胆管内に膨張性発育を呈する腫瘍を認めた．右前区域胆管原発の胆管内発育型肝内胆管癌と診断し，右門脈の経皮経肝門脈塞栓術ののち肝右葉尾状葉切除，肝外胆管切除術を施行した．病理組織学的診断では大腸癌類似の高分化型管状腺癌であり，正常胆管上皮を置換するように進展，増殖をしていた．免疫組織染色で腫瘍細胞はCK7（–），CK20（+），CDX2（+）と既往の大腸癌と同じパターンを呈したことからS状結腸癌の胆管転移と診断した．大腸癌の胆管転移はまれであるうえに術後10年以上経過して出現したため胆管癌との鑑別に苦慮した．診断に免疫組織染色が有用であったため報告する．" @default.
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- W2497231837 date "2016-01-01" @default.
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- W2497231837 title "Intrabiliary Growth of Metastatic Adenocarcinoma 11 Years after Curative Operation of Colon Cancer" @default.
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- W2497231837 doi "https://doi.org/10.5833/jjgs.2014.0274" @default.
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