Successfully treatment of biliary intraepithelial neoplasia of the common bile duct via local excision

摘要

胆管上皮内瘤变作为胆管癌的癌前病变罕见于肝外胆管.因此,对肝外胆管上皮内瘤变的认识不足,对其缺乏统一的治疗方案.在此,报道一例胆总管上皮内瘤变.患者77岁,男性,上腹痛但无黄疸.B超、CT、磁共振、ERCP检查显示胆总管内占位伴肝内外胆管扩张,行局部切除术,术中及术后病理均显示胆总管高级别上皮内瘤变.术后随访两年,无复发.提示局部切除可用于胆总管上皮内瘤变的治疗.