Primary malignant peripheral nerve-sheath tumors of the common bile duct are extremely rare. To our knowledge, the published literature contains no previous case report of this disease. Here we report on a 58-year-old...Primary malignant peripheral nerve-sheath tumors of the common bile duct are extremely rare. To our knowledge, the published literature contains no previous case report of this disease. Here we report on a 58-year-old Japanese woman with a primary malignant peripheral nerve-sheath tumor of the common bile duct, which was completely resected. A hypoechoic mass was identified in the hepatic hilus, using ultrasonography and computed tomography. Endoscopic retrograde cholangiography revealed a smooth stricture and deviation of the common bile duct. Laparotomy exposed a firm mass around the common bile duct that had not invaded the surrounding tissues. Partial resection of the common bile duct and cholecystectomy were performed as the treatment of choice. The final histopathological diagnosis was malignant peripheral nerve-sheath tumor arising from the wall of the common bile duct.展开更多
患者男性,48岁.因“体检发现肝外胆管肿瘤2个月”于2014年12月27日入院.2个月前患者于当地医院体检行超声检查时发现胆总管占位,无寒战发热,无恶心呕吐,无腹痛腹胀,无黄疸等症状.复查腹部增强CT提示胆总管囊肿,当时未行治疗.2014年12月1...患者男性,48岁.因“体检发现肝外胆管肿瘤2个月”于2014年12月27日入院.2个月前患者于当地医院体检行超声检查时发现胆总管占位,无寒战发热,无恶心呕吐,无腹痛腹胀,无黄疸等症状.复查腹部增强CT提示胆总管囊肿,当时未行治疗.2014年12月11日于我院门诊行磁共振胰胆管造影检查：壶腹部上方胆总管囊状扩张,胆总管区域见约28 mm×65 mm T2WI混杂异常信号影,肝内胆管、胰管未见异常狭窄或扩张.考虑胆总管囊肿伴局部恶变可能.展开更多
文摘Primary malignant peripheral nerve-sheath tumors of the common bile duct are extremely rare. To our knowledge, the published literature contains no previous case report of this disease. Here we report on a 58-year-old Japanese woman with a primary malignant peripheral nerve-sheath tumor of the common bile duct, which was completely resected. A hypoechoic mass was identified in the hepatic hilus, using ultrasonography and computed tomography. Endoscopic retrograde cholangiography revealed a smooth stricture and deviation of the common bile duct. Laparotomy exposed a firm mass around the common bile duct that had not invaded the surrounding tissues. Partial resection of the common bile duct and cholecystectomy were performed as the treatment of choice. The final histopathological diagnosis was malignant peripheral nerve-sheath tumor arising from the wall of the common bile duct.
文摘患者男性,48岁.因“体检发现肝外胆管肿瘤2个月”于2014年12月27日入院.2个月前患者于当地医院体检行超声检查时发现胆总管占位,无寒战发热,无恶心呕吐,无腹痛腹胀,无黄疸等症状.复查腹部增强CT提示胆总管囊肿,当时未行治疗.2014年12月11日于我院门诊行磁共振胰胆管造影检查：壶腹部上方胆总管囊状扩张,胆总管区域见约28 mm×65 mm T2WI混杂异常信号影,肝内胆管、胰管未见异常狭窄或扩张.考虑胆总管囊肿伴局部恶变可能.
