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A CASE OF INTRADUCTAL PAPILLARY MUCINOUS ADENOCARCINOMA PENETRATED TO THE COMMON BILE DUCT CAUSING OBSTRUCTIVE JAUNDICE DUE TO MUCUS

総胆管に穿破し粘液により閉塞性黄だんをきたしたすい管内乳頭粘液性腺癌の1例
Authors: Masahiro KONO; Toru FUJITA; Shojiro MIYAZAKI; Yoshifumi HIRAYAMA; Shinobu KASUYA; Shingo KAMEOKA;

A CASE OF INTRADUCTAL PAPILLARY MUCINOUS ADENOCARCINOMA PENETRATED TO THE COMMON BILE DUCT CAUSING OBSTRUCTIVE JAUNDICE DUE TO MUCUS

Abstract

症例は72歳男性.心窩部痛および黄疸を主訴に当院受診となった.腹部超音波検査および腹部CTにて,膵頭部に多房性の嚢胞性病変,著明な主膵管の拡張と軽度の胆管の拡張を認めた.また, PTCD造影で膵胆管瘻形成が疑われた.総胆管への穿破を伴う粘液高産生性膵管内乳頭粘液性腺癌と診断し,膵頭十二指腸切除術を施行した.病理学的には,微小浸潤を伴う乳頭腺癌が主膵管から分枝膵管まで進展しており,膵胆管瘻周囲には腫瘍細胞を認めなかった.本症例は粘液貯留により引き起こされた嚢胞壁の圧上昇に伴う自潰により瘻孔を形成し,粘液により閉塞性黄疸をきたした,と考えられた.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Average
Average
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