TY -的A2合计Tibor盟——东、伊敏AU -帕特尔,Hitendra AU -帕特尔,Charmi PY - 2016 DA - 2016/06/26 TI - Intrabiliary模仿原发性胆管癌肝转移的结直肠癌患者:病例报告和文献之回顾SP - 4704781六世- 2016 AB - Intrabiliary转移的结直肠癌(CRC)增长或入侵的胆管内并不是一个很常见的模式。然而,准确的转移病灶的诊断是非常重要的辅助治疗的选择及预后。我们报告一个71岁的男性发达无痛性黄疸由于肝胆管的阻塞。MRI显示1.4厘米管内的质量与严重的肝内导管扩张,肝门胆管癌一致。内镜逆行胰胆管造影(内镜逆行胰胆管造影)显示管内的节段性胆道狭窄。病变的活检显示由于乳头状腺癌倾向于原发性胆管癌的形态和位置。他的过去历史重要rectosigmoid癌(pT1N0)十年前和四年前为转移性肝切除CRC。他后来接受了中央肝切除术切除胆总管。严重,有一个1.2厘米管内的质量与多个结节胆管分叉的肝实质。显微镜检查显示导管内癌与殖民胆管上皮乳头状结构合成的扩张和曲折。 Occasional liver parenchymal nodules show classical metastatic pattern resembling CRC. Because of two distinct morphologic patterns and patient’s past history, immunostains were performed. CK7 stained uninvolved bile duct epithelium with no staining in intrabiliary metastatic growth. CK20 and CDX2 were positive, thus confirming intrabiliary growth as metastatic growth from CRC. In summary, findings from our case indicate that intrabiliary growth of metastatic CRC can easily be overlooked with major duct involvement. Pathologic evaluation with use of immunohistochemical stains is very important to achieve correct diagnosis. SN - 2090-6781 UR - https://doi.org/10.1155/2016/4704781 DO - 10.1155/2016/4704781 JF - Case Reports in Pathology PB - Hindawi Publishing Corporation KW - ER -