รายงานผู้ป่วย : มะเร็งท่อน้ำดีในเนื้อตับขนาดใหญ่

ผู้แต่ง

  • ไพวัณ วัฒนราษฎร์ ภาควิชาศัลยศาสตร์ รพ.สรรพสิทธิประสงค์

คำสำคัญ:

large intrahepatic cholangiocarcinoma

บทคัดย่อ

Intrahepatic cholangiocarcinoma is liver malignancy. Tumor size is the factor that impact the outcome of survival. We report a male patient who presented with abnormal liver function test. Ultrasonography showed two subcapsular hypoechoic masses at left hepatic lobe. Abdominal computed tomography scan show irregular hypodensity mass 13.3 x 11.2 cm at hepatic segment 4a/8. We performed Left trisegmentectomy hepatectomy with hilar resection, pathological report was adenocarcinoma, consistent with cholangiocarcinoma. He had mild form of post hepatectomy liver failure and discharge in 20 days post operation.

References

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Sotiropoulos GC, Bockhorn M, Sgourakis G, Brokalaki EI, Molmenti EP, Neuhäuser M, et al. R0 liver resections for primary malignant liver tumors in the noncirrhotic liver: A diagnosis-related analysis. Dig Dis Sci. 2009;54(4):887–94.

Endo I, Gonen M, Yopp AC, Dalal KM, Zhou Q, Klimstra D, et al. Intrahepatic cholangiocarcinoma: Rising frequency, improved survival, and determinants of outcome after resection. Ann Surg. 2008;248(1):84–96.

Ji GW, Zhu FP, Zhang YD, Liu XS, Wu FY, Wang K, et al. A radiomics approach to predict lymph node metastasis and clinical outcome of intrahepatic cholangiocarcinoma. Eur Radiol. 2019;3725–35.

Razumilava N, Gores GJ. Cholangiocarcinoma. Lancet. 2014;383(9935):2168–79.

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เผยแพร่แล้ว

2021-12-27