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微波消融治疗伴丙型肝炎病毒感染的淋巴上皮瘤样胆管癌:文献综述和病例报告
Authors Li X, Ji H, Zhang D, Jin M, Guo X, Gao P
Received 14 March 2022
Accepted for publication 18 June 2022
Published 4 July 2022 Volume 2022:14 Pages 2155—2160
DOI https://doi.org/10.2147/CMAR.S366419
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Beicheng Sun
Background: Lymphoepithelioma-like cholangiocarcinoma (LELCC) is a rare type of intrahepatic tumor that is poorly understood. It is not associated with specific physical findings and is usually diagnosed incidentally, resulting in tumors that are often large-sized at diagnosis. At present, the main treatment approach is surgical resection.
Case Presentation: Here, we report the case of a patient with LELCC treated with microwave ablation (MWA). Our patient was a Chinese man with chronic hepatitis C and a 51 mm-diameter intrahepatic tumor. Despite blood testing, gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid-enhanced magnetic resonance imaging, and abdominal ultrasound, the tumor was not well diagnosed. However, the histopathological findings of ultrasound-guided percutaneous tumor biopsy led to a diagnosis of LELCC. The patient was treated with MWA, and no new lesions had occurred at 9 months after treatment.
Conclusion: To our knowledge, this is the first patient with LELCC treated using MWA. Our experience suggests that MWA is an effective new therapeutic method for this disease.
Keywords: Epstein-Barr virus, lymphoepithelioma-like cholangiocarcinoma, microwave ablation, hepatitis C, liver tumor