十二指肠大乳头
医学
内镜逆行胰胆管造影术
胆总管
黄疸
胃肠病学
磁共振胰胆管造影术
淋巴瘤
胆管
狭窄
内科学
放射科
胰腺炎
作者
Ryoko Ikuta,Michimasa Ueda,Tomikazu Yamamoto,Takahiro Yamada,Atsuo Takenaka,Yoshitomo Konaka,Yasushi Adachi,Naoki Wada
出处
期刊:PubMed
日期:2015-02-01
卷期号:112 (2): 307-16
被引量:4
标识
DOI:10.11405/nisshoshi.112.307
摘要
We report a rare case of mucosa-associated lymphoid tissue (MALT) lymphoma of the common bile duct and the papilla of Vater. A 66-year-old man was admitted to our hospital with right upper quadrant pain and jaundice. Endoscopic retrograde cholangiopancreatography and magnetic resonance cholangiopancreatography showed common bile duct stenosis. Further endoscopy revealed swelling of the papilla of Vater, with erosion at the ileal end. The patient was pathologically diagnosed with MALT lymphoma and treated for Helicobacter pylori eradication, after which the lesions improved. However, 1 year later, the lesions began to enlarge again;thus, he was treated with 6 courses of combination chemotherapy (R-CHOP). After treatment, the tumor and erosion of the papilla of Vater disappeared and the stenosis of the common bile duct improved.
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