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胆囊癌肉瘤一例 被引量：1

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摘要 患者男,75岁,因“上腹部疼痛不适半月余,加重2d”入院.患者半月余前饱食后感上腹部疼痛不适,伴腹胀、恶心、呕吐,呕吐物为胃内容物,呕吐后疼痛缓解,经抗炎、抑酸治疗后好转.2d前再次出现上述症状,自觉加重.查体：神志清,精神可,皮肤及巩膜无黄染,心肺（-）,腹平,未见胃肠型及蠕动波,腹软,上腹部压痛,无反跳痛,肝脾肋下未及,Mushy征（-）,未触及肿块,移动性浊音（-）,肠鸣音4次/min.
作者 丁伟超 张蓬波 张秀忠 张冲 任泽强
机构地区 徐州医学院附属医院普外科
出处 《中华普通外科杂志》 CSCD 北大核心 2014年第7期555-556,共2页 Chinese Journal of General Surgery
关键词 胆囊癌肉瘤 疼痛不适 移动性浊音 上腹部 呕吐物 胃内容物 疼痛缓解 抑酸治疗
分类号 R735.8 [医药卫生—肿瘤]
  • 相关文献

参考文献6

  • 1Zhang L,Chen Z,Fukuma M,et al.Prognostic significance of race and tumor size in carcinosarcoma of gallbladder:a metaanalysis of 68 cases[J].Int J Clin Exp Pathol,2008,1 (1):75-83.
  • 2Kim HH,Hur YH,Jeong EH,et al.Carcinosarcoma of the gallbladder:report of two cases[J].Surg Today,2012,42 (7):670-675.
  • 3钱斌,胡晓华,鲍健,陈宏伟,吴晶涛.胆囊癌肉瘤的CT影像学分析[J].重庆医学,2011,40(28):2836-2837. 被引量：6
  • 4任宏,石景森,孙学军,赵东利,韩梅荣,韩玥,赵冰,白鸣.脾脏肿瘤的诊断与治疗[J].中华普通外科杂志,2005,20(1):40-42. 被引量：15
  • 5李柏峰,刘永锋,石蕊,刘作良.胆囊癌肉瘤的临床病理学特征分析[J].世界华人消化杂志,2008,16(35):4008-4011. 被引量：8
  • 6Li BF,Li PW,Shi R,et al.Clinicopathologic analysis of gallbladder carcinosarcoma[J].Am Surg,2013,79 (1):E37-39.

二级参考文献36

  • 1Kubota K, Kakuta Y, Kawamura S, Abe Y, Inamori M, Kawamura H, Kirikoshi H, Kobayashi N, Saito S, Nakajima A. Undifferentiated spindle-cell carcinoma of the gallbladder: an immunohistochemical study. J Hepatobiliary Pancreat Surg 2006; 13: 468-471
  • 2Ajiki T, Nakamura T, Fujino Y, Suzuki Y, Takeyama Y, Ku Y, Kuroda Y, Ohbayashi C. Carcinosarcoma of the gallbladder with chondroid differentiation. J Gastroenterol 2002; 37: 966-971
  • 3Kim MJ, Yu E, Ro JY. Sarcomatoid carcinoma of the gallbladder with a rhabd tumor component. Arch Pathol Lab Med 2003; 127: e406-e408
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  • 5Sodergren MH, Silva MA, Read-Jones SL, Hubscher SG, Mirza DF. Carcinosarcoma of the biliary tract: two case reports and a review of the literature. Eur J Gastroenterol Hepatol 2005; 17: 683-685
  • 6de Aretxabala X, Roa I, Burgos L, Losada H, Roa JC, Mora J, Hepp J, Leon J, Maluenda F. Gallbladder cancer: an analysis of a series of 139 patients with invasion restricted to the subserosal layer. J Gastrointest Surg 2006; 10: 186-192
  • 7Takahashi Y, Fukushima J, Fukusato T, Shiga J. Sarcomatoid carcinoma with components of small cell carcinoma and undifferentiated carcinoma of the gallbladder. Pathol Int 2004; 54: 866-871
  • 8Laterza R, Seveso A, Zefiro F, Formenti G, Mellana L, Donadello N, Ghezzi F, Bolis P, Riva C. Carcinosarcoma of the uterine cervix: case report and discussion. Gynecol Oncol 2007; 107: S98-S100
  • 9Wright JL, Black PC, Brown GA, Porter MP, Kamat AM, Dinney CP, Lin DW. Differences in survival among patients with sarcomatoid carcinoma, carcinosarcoma and urothelial carcinoma of the bladder. J Urol 2007; 178: 2302-2306; discussion 2307
  • 10Venissac N, Pop D, Lassalle S, Berthier F, Hofman P, Mouroux J. Sarcomatoid lung cancer (spindle/giant cells): an aggressive disease? J Thorac Cardiovasc Surg 2007; 134: 619-623

共引文献26

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中华普通外科杂志
2014年 第7期

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