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肝胆管囊腺瘤合并先天性胆管扩张症1例 被引量:3

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摘要 患者女,64岁,因发热(最高体温39.2℃)伴巩膜黄染,于2013年2月入本院治疗。患者病史近三年反复右上腹阵发性疼痛,且多次因“胰腺炎及胆管炎”在当地医院行抗炎治疗。既往乙肝小三阳病史15年。查体:巩膜轻度黄染,右上腹压痛,无反跳痛及肌紧张,未触及包块。肝功能检查:总胆红素28.12μmol/L,谷草转氨酶72.69μ/L,谷丙转氨酶119.40μ/L,碱性磷酸酶553.60μ/L;甲胎蛋白、癌胚抗原、糖类抗原及其他实验室检查结果均正常。腹部磁共振平扫及胆胰管成像提示:胆总管明显扩张,扩张的左侧肝内胆管壁可见乳头状病灶突向腔内(图1)。初步诊断为先天性胆管扩张症(考虑合并肝胆管囊腺瘤)。
出处 《中国肿瘤临床》 CAS CSCD 北大核心 2014年第21期1416-1416,共1页 Chinese Journal of Clinical Oncology
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