| Item type |
学術雑誌論文 / Journal Article_02(1) |
| 公開日 |
2009-04-24 |
| タイトル |
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タイトル |
Gallbladder carcinoma associated with occult pancreatobiliary reflux in the absence of pancreaticobiliary maljunction. |
|
言語 |
en |
| 言語 |
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言語 |
eng |
| 資源タイプ |
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資源タイプ |
journal article |
| その他（別言語等）のタイトル |
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その他のタイトル |
A case of gallbladder carcinoma associated with occult pancreatobiliary reflux in the absence of pancreaticobiliary maljunction |
|
言語 |
en |
| 著者 |
稲垣, 光裕
Goto, J
Suzuki, S
Ishizaki, A
Tanno, S
Kohgo, Y
Tokusashi, Y
Miyokawa, N
Kasai, S
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| 著者 ローマ字 |
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Inagaki, Mitsuhiro |
| 著者 ローマ字 |
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en |
| 書誌情報 |
Journal of Hepato-Biliary-Pancreatic Surgery
巻 14,
号 5,
p. 529-533,
発行日 2007-09-01
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| ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
0944-1166 |
| DOI |
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関連タイプ |
isVersionOf |
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識別子タイプ |
DOI |
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関連識別子 |
10.1007/s00534-006-1217-y |
| リンクURL |
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内容記述タイプ |
Other |
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内容記述 |
http://dx.doi.org/10.1007/s00534-006-1217-y | http://dx.doi.org/10.1007/s00534-006-1217-y |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
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内容記述 |
We herein report a case of gallbladder carcinoma associated with occult pancreatobiliary reflux (PR) in the absence of pancreatobiliary maljunction. A 67-year-old woman was referred to our hospital for the evaluation and treatment of a gallbladder tumor. Ultrasonography and computed tomography showed a nodular lesion in the fundus of the gallbladder, indicating the possibility of a gallbladder carcinoma. Endoscopic retrograde ultrasonography showed the tumor in the fundus of the gallbladder and thickness of the surrounding epithelium. Endoscopic retrograde cholangiopancreatography revealed a normal pancreaticobiliary junction without the common channel and a mild dilatation of the common bile duct (15 mm in the diameter). An open cholecystectomy and partial resection of the liver bed of the gallbladder with regional lymphadenectomy were performed. A C-tube was inserted from the cut end of the cystic duct into the common bile duct to prevent the bile stasis. Biliary amylase and lipase levels sampled in the gallbladder were 2,604 IU/l and 775 IU/l, respectively. Biliary amylase level in the bile collected from the C-tube in the common bile duct was 119,550 IU/l on postoperative day (POD) 6 and 22,265 IU/ on POD 12. These observations suggested that PR was present in this patient. The histopathological findings of the resected specimen showed a well differentiated adenocarcinoma of the gallbladder with invasion to the muscle layer and no metastasis of the resected lymph nodes. A high index of the nuclear staining for MIB-I in the cancer cells (about 10%) was exhibited, and a few cells of the normal epithelium also stained positive. |
| 注記 |
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内容記述タイプ |
Other |
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注記 |
The original publication is available at springerlink.com
\nauthor |
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言語 |
en |
| 資源タイプ |
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内容記述タイプ |
Other |
|
資源タイプ |
text |
| 著者版フラグ |
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出版タイプ |
AM |
| フォーマット |
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内容記述タイプ |
Other |
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内容記述 |
application/pdf |
| ID(XooNIps) |
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17909727 |
| 閲覧数(XooNIps) |
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| ダウンロード数(XooNIps) |
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1279 |
2035.pdf (2.0 MB)
