中德临床肿瘤学杂志（英文版）2006，Vol.5Issue(3)：216-218,3.
肝门部胆管癌伴乳腺和骨骼肌同时转移1例报告及文献综述
Hilar Cholangiocarcinoma with Synchronous Metastases to Breast and Skeletal Muscle: A Case Report and Literature Review
丁光辉 1吴孟超 1杨家和 1程树群 1龚华 1刘凯 1戴炳华 1龚彪 1赵丽华 1丛文铭1
作者信息
- 1. 上海第二军医大学东方肝胆外科医院,200438
- 折叠
摘要
Abstract
Hilar cholangiocarcinoma has been reputed as a slow growth tumor in the past. Skeletal muscle is one of the most unusual sites of metastasis from any malignancy. We report herein a case of hilar cholangiocarcinoma with synchronous metastases to skeletal muscle and breast, and review the literature.The patient was a 48-year-old woman who presented with jaundice and weight loss. An inoperable hilar cholangiocarcmoma was diagnosed. She was treated with a combination of endoscopic plastic stent biliary drainage and three-dimensional conformal radiotherapy (3DCRT). Good response was achieved. Ten months later, she exhibited with a painful metastatic mass in the muscle rectus femoris of left thigh and a painless mass in the left breast. She underwent operation to relieve the pain, but died from liver failure after 8 months. The literature only offers isolated cases of cholangiocarcinoma with distant metastases, of which the common sites were cervical lymph node, bone, and portal venous system. Most patients were presented with multiple metastases with extensive local disease.关键词
肝门部胆管癌/远处转移/内镜内支架/三维适型放疗/姑息性治疗Key words
hilar cholangiocarcinoma/distant metastasis/endoscopic stent/three-dimensional conformal radiotherapy/palliative treatment分类
医药卫生引用本文复制引用
丁光辉,吴孟超,杨家和,程树群,龚华,刘凯,戴炳华,龚彪,赵丽华,丛文铭..肝门部胆管癌伴乳腺和骨骼肌同时转移1例报告及文献综述[J].中德临床肿瘤学杂志（英文版）,2006,5(3):216-218,3.
