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A case of gallbladder carcinoma associated with pancreatobiliary reflux in the absence of a pancreaticobiliary maljunction: A hint for early diagnosis of gallbladder carcinoma
引用本文:Sai JK,Suyama M,Kubokawa Y. A case of gallbladder carcinoma associated with pancreatobiliary reflux in the absence of a pancreaticobiliary maljunction: A hint for early diagnosis of gallbladder carcinoma[J]. World journal of gastroenterology : WJG, 2006, 12(28): 4593-4595. DOI: 10.3748/wjg.v12.i28.4593
作者姓名:Sai JK  Suyama M  Kubokawa Y
作者单位:Department of Gastroenterology Juntendo University,Tokyo,Japan,Department of Gastroenterology,Juntendo University,Tokyo,Japan
摘    要:
A 62-year-old man with progressive thickening of the gallbladder wall visited our outpatient clinic. The biliary amylase level in the common bile duct was 19900 IU/L and that of the gallbladder was 127000 IU/L, although endoscopic retrograde cholangiopancreatography revealed no pancreaticobiliary maljunction. Histology demonstrated a moderately differentiated adenocarcinoma of the gallbladder. Pancreatobiliary reflux and associated gallbladder carcinoma were confirmed in the present case, in the absence of a pancreaticobiliary maljunction. Earlier detection of the pancreatobiliary reflux and progressive thickening of the gallbladder wall might have led to an earlier resection of the gallbladder and improved this patient's poor prognosis.

关 键 词:胆囊癌  诊断方法  治疗  病理机制
收稿时间:2006-04-06

A case of gallbladder carcinoma associated with pancreatobiliary reflux in the absence of a pancreaticobiliary maljunction: A hint for early diagnosis of gallbladder carcinoma
Sai Jin-Kan,Suyama Masafumi,Kubokawa Yoshihiro. A case of gallbladder carcinoma associated with pancreatobiliary reflux in the absence of a pancreaticobiliary maljunction: A hint for early diagnosis of gallbladder carcinoma[J]. World journal of gastroenterology : WJG, 2006, 12(28): 4593-4595. DOI: 10.3748/wjg.v12.i28.4593
Authors:Sai Jin-Kan  Suyama Masafumi  Kubokawa Yoshihiro
Affiliation:Department of Gastroenterology, Juntendo University, Tokyo,Japan
Abstract:
A 62-year-old man with progressive thickening of the gallbladder wall visited our outpatient clinic. The biliary amylase level in the common bile duct was 19900 IU/L and that of the gallbladder was 127000 IU/L, although endoscopic retrograde cholangiopancreatography revealed no pancreaticobiliary maljunction. Histology demonstrated a moderately differentiated adenocarcinoma of the gallbladder. Pancreatobiliary reflux and associated gallbladder carcinoma were confirmed in the present case, in the absence of a pancreaticobiliary maljunction. Earlier detection of the pancreatobiliary reflux and progressive thickening of the gallbladder wall might have led to an earlier resection of the gallbladder and improved this patient's poor prognosis.
Keywords:Amylase  Bile  Gallbladder carcinoma  Pancreatobiliary reflux  Pancreaticobiliary maljunction  Diagnosis
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