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educational case---rare gallbladder tumor

qianxun 离线

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楼主 发表于 2009-04-26 20:29|举报|关注(0)
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姓    名: ××× 性别:  female 年龄:  31
标本名称:  gallbladder
简要病史:  right abdominal pain
肉眼检查:  

Patient presented to hospital with signs and symptoms of chronic cholecystitis and cholelithiasis. Ultrasound examination revealed thickening of gallbladder wall with

abnormal septation around liver bed. Patient underwent laparoscopic cholecystectomy and resection of the adjacent liver bed.  

 

The gallbladder measures 9 × 4 × 3 cm and shows an indurated localized thickened fundic wall area measuring 2 ×1.5 × 1 cm located around the fundus and liver bed. Cut surface of the thickened area was off-white and firm. The gallbladder mucosa was normal. Three tan-yellow stones were present within gallbladder lumen. Gallbladder neck and cystic duct were grossly unremarkable. 

  • educational case---rare gallbladder tumor图1
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  • educational case---rare gallbladder tumor图2
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  • educational case---rare gallbladder tumor图3
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本帖最后由 于 2009-04-26 21:06:00 编辑
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njwbhuang 离线

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1 楼    发表于2009-04-26 21:35:00举报|引用
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以下是引用qianxun在2009-4-26 20:29:00的发言:

姓    名: ××× 性别:  female 年龄:  31
标本名称:  gallbladder
简要病史:  right abdominal pain
肉眼检查:  

Patient presented to hospital with signs and symptoms of chronic cholecystitis and cholelithiasis. Ultrasound examination revealed thickening of gallbladder wall with

abnormal septation around liver bed. Patient underwent laparoscopic cholecystectomy and resection of the adjacent liver bed.  

 

The gallbladder measures 9 × 4 × 3 cm and shows an indurated localized thickened fundic wall area measuring 2 ×1.5 × 1 cm located around the fundus and liver bed. Cut surface of the thickened area was off-white and firm. The gallbladder mucosa was normal. Three tan-yellow stones were present within gallbladder lumen. Gallbladder neck and cystic duct were grossly unremarkable. 

译文:部位  胆囊  临床症状:右侧腹痛

病人因慢性胆囊炎和胆囊结石而入院,超声检查发现胆囊壁增厚,胆囊与肝床之间有异常分隔。病人行腹腔镜下胆囊切除术和邻近肝床的切除

胆囊大小9 × 4 × 3 cm,胆囊底部有一个局限性硬结样的增厚,大小2 ×1.5 × 1 cm 。切面灰白色,质地致密。胆囊粘膜正常。胆囊腔内见有3个褐黄色石头。胆囊颈部和胆囊管大体上未见异常。

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zhang197510 离线

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2 楼    发表于2009-04-28 12:06:00举报|引用
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 期待老师讲解一下!
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坚持就是胜利!!

qianxun 离线

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3 楼    发表于2009-05-06 09:27:00举报|引用
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   Aberrant small bile duct or ductules in liver

   bed and/or in sub-peritoneal region around wall of gallbladder

   adjacent to liver bed.

   What is the name of these ducts?

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qianxun 离线

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4 楼    发表于2009-05-13 02:30:00举报|引用
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以下是引用zhang197510在2009-4-28 0:06:00的发言:

 期待老师讲解一下!

 

 please see our paper at the following link:

  http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=19128463

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liguoxia71 离线

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5 楼    发表于2009-05-13 09:19:00举报|引用
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 Luschka ducts 。谢谢,学习了。
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三人行,必有我师焉,择其善者而从之,其不善者而改之。

fangg 离线

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6 楼    发表于2009-05-14 13:23:00举报|引用
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 胆囊床迷走胆管非常少见,在此基础上发生的癌更加罕见。

很好的病例,非常感谢Dr. qianxun分享!

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