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１临床资料患者女性，６７岁。以反复发热１０个月，伴皮肤、巩膜黄染１个月行ＥＲＣＰ检查。既往有糖尿病史１５年。内镜下见十二指肠乳头明显肿大，约２．０ｃｍ×２．０ｃｍ，表面有结节增生伴糜烂，触之易出血，局部活检示中分化腺癌。ＥＲＣＰ示肝内外胆管及主胰管均...
1 Clinical data Patient Female, 67 years old. Repeated fever for 10 months, accompanied by skin and scleral staining for 1 month for ERCP. There has been a history of diabetes for 15 years. Under the endoscope, the duodenal papilla was obviously enlarged, about 2.0cm × 2.0cm, with nodular hyperplasia with erosion on the surface, easy bleeding, and local biopsy showed differentiation of adenocarcinoma. ERCP shows that both the intrahepatic bile duct and the main pancreatic duct are...