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发生在胃肠道以外的类癌十分罕见,我院收治1例,报道如下:男,70岁.1992年1月3日因皮肤巩膜黄染半月入院.发病初上腹饱胀,食欲差;继之出现巩膜及全身皮肤黄染、尿呈浓茶色,粪便灰白.营养中等,全身皮肤及巩膜重笃黄染,浅淋巴结无肿大,心肺阴性,肝脏助下1.5cm,可触及胀大的胆囊,肝区无叩击痛,肠鸣音正常.B超示肝内胆管及胆总管明显扩张,胆总管直径2cm,胆囊9.4cm×4.6cm,CT示:胆总管下端占位性病变,直径2.5cm.肝动能检查:GPT150~u以上,血胆红质25mg%,凡登白试验:直接强阳性.尿胆红质(十),血沉15mm/h.于1月10日全麻下行剖腹探查术,术中发现肝脏明显淤肿,胆囊胀大,胆总管扩张
Carcinoid tumors that occur outside the gastrointestinal tract are rare. In our hospital, 1 case was reported as follows: Male, 70 years old. On January 3, 1992, she was hospitalized with yellow skin and yellow stain for half a month. At the beginning of episode, her upper abdomen became full and her appetite was poor; Followed by yellowing of the sclera and the body’s skin, urine was dark brown, fecal gray. Medium nutrition, systemic skin and sclera jaundice, no enlargement of superficial lymph nodes, heart and lungs were negative, the liver to help the next 1.5cm, palpable swelling The gallbladder and liver had no percussion pain and normal bowel sounds. Ultrasonography showed a significant dilatation of the intrahepatic bile duct and common bile duct. The diameter of the common bile duct was 2 cm and the gallbladder was 9.4 cm x 4.6 cm. CT showed the location of the lesion in the lower end of the common bile duct. 2.5cm. Liver kinetic examination: GPT150 ~ u or more, blood bilirubin 25mg%, Vanden white test: direct strong positive. urinary bilirubin (10), ESR 15mm/h. Caesarean section under general anesthesia on January 10 Exploratory surgery, intraoperative hepatic obstruction, gallbladder swell, common bile duct dilatation