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1 病历简介病人女性 ,68岁。因腹胀 18d ,黄疸 11d入院。经B超、CT和MRI检查发现肝总管及肝内胆管扩张 ,肝总管与胆总管交界处有 1 5cm× 1 0cm占位病变 ,胆囊多发结石(图 1)。化验AFP、CEA、CA 19 9均为阴性。诊断为肝门部肝总管与胆总管交界处胆管癌及胆囊结石。于 2 0 0 2?
1 medical records patient female, 68 years old. Due to abdominal distension 18d, jaundice 11d admission. The B, CT and MRI examination showed that the hepatic duct and intrahepatic bile duct dilatation, hepatic duct and common bile duct junction of 15cm × 10cm occupying lesions, gallbladder stones (Figure 1). Laboratory AFP, CEA, CA 19 9 were negative. Diagnosis of hilar hepatic duct and common bile duct junction cholangiocarcinoma and gallstones. At 2 0 0 2?