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妊娠合并恶性肿瘤是妇产科少见的合并症,发病率约为0.1%[1]。在妊娠合并的恶性肿瘤中,多数为好发于生育年龄的恶性肿瘤[2],少有妊娠合并肝内胆管细胞癌(Intrahepatic cholangio-carcinoma,IHCC)并多发转移的报道。现将山东大学附属省立医院肿瘤中心所见妊娠合并IHCC并多发转移1例报道如下。1临床资料患者,女,31岁,因“胸肋部及上腹部疼痛3个月,发现肝内占位20余天,剖腹产术后8 d”入院。患者2013年1月孕5月余,无明显诱因出现右侧季肋部胀痛不适,疼痛呈持续性,深呼吸及体位变化时
Pregnancy with malignant tumor is a rare complication of obstetrics and gynecology, the incidence of about 0.1% [1]. Malignant tumors in pregnancy, the majority of malignant tumors of childbearing age [2], rare pregnancy with intrahepatic cholangio-carcinoma (Intrahepatic cholangio-carcinoma, IHCC) and multiple metastases were reported. Now Affiliated Provincial Hospital of Shandong University Cancer Center seen pregnant with IHCC and multiple metastases reported in 1 case reported below. 1 Clinical data Patients, female, 31 years old, because of “thoracic and upper abdominal pain for 3 months and found that intrahepatic space occupying more than 20 days after cesarean section 8 d ” admission. Patients in January 2013 more than 5 months pregnant, no obvious incentive to the right quarter rib discomfort, pain was persistent, deep breathing and changes in position