肝内胆管细胞性肝癌仅占肝原发癌的10—20％,而胆管乳头状囊腺癌在胆管细胞性肝癌中又极为少见,本文将近期收治的一例原发性肝内胆管乳头囊腺癌报告如下: 病史摘要:患者男,43岁,因上腹隐痛,低热,肝肿大四月余而于1986年5月17日入院。入院前四个多月来上腹不适,常有低热,乏力,食欲减退,食后饱胀,但一般情况尚可,消瘦不明显,能坚持工作,曾在外院拟诊“肝炎”治疗。体格检查;一般情况较好,营养中等,全身皮肤、巩膜无黄染,心肺(-),上腹稍膨隆,肝左叶肿大,剑突下12cm,肋缘下6cm,质硬,结节不明显,叩痛, Intrahepatic cholangiocarcinoma only accounts for 10-20% of primary liver cancer. Biliary papillary cystadenocarcinoma is extremely rare in cholangiocarcinoma. This article will treat a case of primary intrahepatic bile duct papillary cystadenocarcinoma recently. The cancer report is as follows: Medical history summary: The patient was male, 43 years old. He was admitted to hospital on May 17, 1986 because of abdominal pain, fever, and hepatomegaly for more than four months. In the four months before admission, she suffered from upper abdominal discomfort, often with low fever, fatigue, loss of appetite, and fullness after eating. However, the general condition was fair, and weight loss was not obvious. He was able to maintain his work and he had been diagnosed as “hepatitis” in the external hospital. Physical examination; generally good, moderate nutrition, body skin, no yellow stained sclera, heart and lung (-), slightly bulging upper abdomen, swollen left hepatic lobe, xiphoid 12cm, subcostal 6cm, hard, nodules Not obvious, painful,