PDF(Pubmed)
Abstract：
Cholangiocytic adenoma in the hilar bile duct is rare, and elevated IgG4 at the same time is extremely rare. This situation has not been reported in the literature. Nonetheless, the current case involved hilar biliary cystadenoma with elevated IgG4 levels. A 66-year-old man presented at this hospital with dark tea-colored urine. Preoperative imaging studies suggested hilar cholangiocarcinoma. This case demonstrates the difficulty of preoperative diagnosis of benign hilar lesions and the rarity of two combined benign lesions. A point of contention is whether this case should be treated with surgery or hormone therapy.
摘要：
肝门部胆管的胆管细胞腺瘤很少见，同时升高的IgG4极为罕见。这种情况在文献中没有报道。尽管如此，当前病例涉及肝门部胆管囊腺瘤,IgG4水平升高.一名66岁的男子在这家医院出现了深色茶色尿液。术前影像学检查提示肝门部胆管癌。此病例证明了术前诊断肺门良性病变的难度和两种合并良性病变的稀有性。争论的焦点是这种情况是否应该用手术或激素治疗。
