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胆囊乳头状腺瘤极为罕见,一般腺瘤体积均小于1cm,巨大乳头状腺瘤伴有癌变者极少见,现将我院收治的一例报道如下。 患者,女,21岁,因间歇性上腹部绞痛,伴有恶心、呕吐一个月,于1990年3月2日入院。 体查:一般情况良好,无发热及黄疸。腹部软,剑突下压痛(+)。右上腹压痛(+)。无反跳痛。白细胞7.7×10~(12)/L,分叶72%,红细胞4.66×10~9/L,血红蛋白135g/L。肝功正常,超声探查:胆囊9.7×3.9cm,囊壁清晰,其内可见6.5×4 cm中等回声团
Papillary adenoma of the gallbladder is extremely rare. The volume of adenomas in general is less than 1 cm. The giant papillary adenoma with cancerous changes is rarely seen. One case reported in our hospital is reported below. The patient, female, 21 years old, was admitted to hospital on March 2, 1990 due to intermittent upper abdominal cramps, accompanied by nausea and vomiting for one month. Physical examination: Generally good, no fever and jaundice. The abdomen is soft and the xiphoid tenderness (+). Right upper quadrant tenderness (+). No rebound pain. Leukocytes 7.7×10 12/L, 72% loci, 4.66×10 9/L red blood cells, and 135 g/L hemoglobin. Normal liver function, ultrasound exploration: gallbladder 9.7 × 3.9cm, clear wall, which can be seen within the 6.5 × 4cm medium echo group