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SpyGlass诊断肝细胞癌伴右肝管肿瘤血栓出血的一例
- Affiliations：
Department of Gastroenterology, the First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang 315020, China
- Author bio：
*叶国良E-mail: ndfyygl@163.com。
- Funds：
DOI：10.24920/004273
中图分类号：收稿日期：2023-06-15，
录用日期：2023-10-17，
网络出版日期：2023-12-11，
纸质出版日期：2023-12-30
- Accepted：
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郭利华, 缪敏, 叶国良. SpyGlass诊断肝细胞癌伴右肝管肿瘤血栓出血的一例[J]. 中国医学科学杂志（英文）, 2023,38(4):309-314.
Li-Hua Guo, Min Miao, Guo-Liang Ye. SpyGlass in Diagnosis of Hepatocellular Carcinoma with Right Hepatic Duct Tumor Thrombus Hemorrhage: A Case Report[J]. Chinese medical sciences journal, 2023, 38(4): 309-314.
郭利华, 缪敏, 叶国良. SpyGlass诊断肝细胞癌伴右肝管肿瘤血栓出血的一例[J]. 中国医学科学杂志（英文）, 2023,38(4):309-314. DOI： 10.24920/004273.
Li-Hua Guo, Min Miao, Guo-Liang Ye. SpyGlass in Diagnosis of Hepatocellular Carcinoma with Right Hepatic Duct Tumor Thrombus Hemorrhage: A Case Report[J]. Chinese medical sciences journal, 2023, 38(4): 309-314. DOI： 10.24920/004273.
摘要
肝细胞癌伴胆管肿瘤血栓是一种相对罕见的疾病，预后较差。该病的主要临床表现是梗阻性黄疸，常被误诊。本例患者59岁，女性，因突发腹痛入院。实验室检查提示梗阻性黄疸，上腹部增强磁共振成像未见明显胆道扩张。超声内镜和内镜逆行胰胆管造影提示上胆管占位性病变，但性质不明。SpyGlass和活检最终证实肝细胞癌伴右肝管肿瘤血栓出血。SpyGlass直视系统作为一种先进的胆道镜设备，具有单人操作以及直视病灶且容易获取病理组织等优点。
Abstract
Hepatocelluar carcinoma presenting as a biliary duct tumor thrombus is a relatively rare entity
with poor prognosis. The primary clinical manifestation of this disease is obstructive jaundice
which can often be misdiagnosed. A 59-year-old female patient was admitted with sudden onset of abdominal pain. Laboratory tests suggested obstructive jaundice
and enhanced magnetic resonance imaging of the upper abdomen did not show obvious biliary dilatation. Endoscopic ultrasound and endoscopic retrograde cholangiopancreatography suggested an occupying lesion in the upper bile duct. SpyGlass and biopsy finally confirmed hepatocellular carcinoma with right hepatic duct tumor thrombus hemorrhage. The SpyGlass Direct Visualization System
as an advanced biliary cholangioscopy device
showed the advantages of single-person operation as well as easy access to and visualization of the lesion.
关键词
Keywords
references
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