Korean Journal of Gastrointestinal Endoscopy 1995;15(2): 267-273.
증례 : 점액과분비성 담관 낭종성선암 1예 ( Case Reports : A Case of Biliary Mucinous Cystadenocarcinoma )
심찬섭, 이동화, 송영식, 이준성, 이문성, 김홍수, 진소영, 김선주, 이영창, 신원용, 이광희, 이문수 (Chan Sup Shim, Dong Wha Lee, Young Sik Song, Joon Seong Lee, Moon Sung Lee, Hong Soo Kim, So Young Jin, Sun Ju Kim, Young Chang Lee, Won Young Shin, Kwang Hee Lee and Moon Su Lee)
Abstract
Biliary cystadenoma and cystadenocarcinoma are rare tumors which have a good prognosis after complete surgical removal. Correct pre-operative diagnosis depends on the imaging characteristics of the tumors. Computed tomography, Ultrasono-graphy, angiography and cholangiogram are useful diagnostic procedure in biliary cystic tumor but definite diagnosis cannot be made without histologic diagnosis. Before the surgery, cholangioscopy is necessary for deciding operation field. The prognosis of the biliary cystic tumor seems to be much better than that of other solid hepatic tumors. If there is no evidence of metastasis, complete resection of these tumors is, therefore, necessary for these possibly curable disease. Recently, we experienced a 60-year-old woman complained of jaundice and generalized itching sensation, which was diagnosed as biliary mucinous cystadenocarcinoma. We decided operation field by cholangioscopy, and performed left hepatic lobectomy and T-tube choledochojejunostomy. So, we report this case with a review of relevant literature.
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