巨大胆囊腺瘤误诊为胆囊癌1例报告  

Giant adenoma of the gallbladder misdiagnosed as gallbladder carcinoma:A case report

作　　者：王悦华[1] 江华[1] 滕梁红[2] 段焕利 崔壁霄 王冬梅 WANG Yuehua;JIANG Hua;TENG Lianghong;DUAN Huanli;CUI Bixiao;WANG Dongmei(Department of General Surgery,Capital Medical University,Beijing 100053,China;Department of Pathology,Capital Medical University,Beijing 100053,China;Department of Radiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院普外科,北京100053 [2]首都医科大学宣武医院病理科,北京100053 [3]首都医科大学宣武医院放射科,北京100053

出　　处：《临床肝胆病杂志》2024年第4期794-796,共3页Journal of Clinical Hepatology

基　　金：教育部人文社会科学研究规划基金项目(14YJAZH083)。

摘　　要：1例胆囊肿物患者,曾出现一过性黄疸,经腹部超声、增强CT、MRCP及PET-CT检查,均诊断为胆囊癌。手术探查见胆囊增大,胆囊颈部肿物挤压肝门部,但没有肿瘤侵犯表现,肝脏未见肿瘤转移征象,仅为患者行胆囊切除术。病理诊断为胆囊管状腺瘤,未见癌变。本病例特点是胆囊肿瘤巨大,影像未见肿瘤边缘浸润,病理未见恶变。One patient with gallbladder mass had transient jaundice and was diagnosed with gallbladder carcinoma by abdominal ultrasonography,contrast-enhanced CT,MRCP,and PET-CT.Surgical exploration showed enlarged gallbladder and a mass in the neck of the gallbladder pressing against the hilum of the liver,with no manifestation of tumor invasion,and there were no signs of liver metastasis.Only cholecystectomy was performed for the patient.The pathological diagnosis was tubular adenoma of the gallbladder without carcinogenesis.This case is characterized by a large gallbladder tumor,without marginal infiltration on imaging or malignant transformation based on pathology.

关 键 词：胆囊肿瘤 腺瘤 胆囊切除术 误诊 

分 类 号：R735.8[医药卫生—肿瘤]