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題 名 | 妊娠婦女合併原發性膽管癌:一病例報告=Cholangiocarcinoma in Pregnancy--A Case Report |
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作 者 | 廖文聖; 王蒼恩; 林錫泉; 張國明; 楊圳隆; 楊育正; 陳裕仁; 余益榮; | 書刊名 | 內科學誌 |
卷 期 | 13:6 2002.12[民91.12] |
頁 次 | 頁286-292 |
分類號 | 417.346 |
關鍵詞 | 妊娠; 膽管癌; Pregnancy; Cholangiocarcinoma; |
語 文 | 中文(Chinese) |
中文摘要 | 一位35歲女性,以往健康良好,無任何病史,於妊娠12週時出現上腹痛、食慾不振症狀,並於妊娠23週時出現全身黃疸現象,來本院就醫。腹部超音波發現在肝臟右葉靠近肝門附近,有一邊緣不規則的高回音病變大小約6公分,且合併有總膽管、兩側肝管擴張的情形。腹部核磁共振攝影也發現相同病兆。於是遂替患者安排經皮穿肝膽汁引流和超音波導引經皮穿肝細針腫瘤切片,病理報告證實為一原發性膽管癌。患者於妊娠32週時剖腹產下一男嬰,並於產後接受放射線和化學治療,目前於門診定期追蹤,黃疸、腹痛仍持續存在,也出現腫瘤肝內轉移,胎兒則是健康情形良好。在此提出這一罕見病例,並對妊娠婦女罹患膽管癌診斷和治療時的困難性、預後加以探討。 |
英文摘要 | A thirty-five years old female was healthy before and had no any past history. She felt epigastric pain & poor appetite on 12 th week of pregnancy and she developed generalized jaundice on 23th week of pregnancy. She came to our hospital for further treatment. Abdominal ultrasound showed a hyperechoic lesion about 6cm in size located at right lobe of liver near the hilum with dilatation of common bile duct and bilateral hepatic ducts. Abdominal MRI also showed the same lesion at the similar site. So we arranged percutaneous transhepatic biliary drainage and ultrasound-guided fine needle biopsy for the patient. Pathologic finding was a primary cholangiocarcinoma. The patient delivered a male baby by cesarean section on 32th week of pregnancy. She received palliative treatment(radiotherapy and chemotherapy) after C/S. The patient was followed up regularly at our OPD and jaundice, epigastric pain with metastatic liver tumor were still noted. The male baby was healthy after birth.We also discuss the difficulty in diagnosis , treatment and poor prognosis in pregnancy with cholangiocarcinoma.-a rare case in the literature. |
本系統中英文摘要資訊取自各篇刊載內容。