GEWICHT: 66 kg
Brüste: 80 E natur
Ohne Kondom: +60€
Intime Dienste: NS aktiv, Kuscheln/Schmusen, Franzosisch, Dildo passiv, GV in versch. Stellungen
Bile duct hamartomas BDH , also referred to as von Meyenburg complex VMC , were first described in 1 , with a reported incidence of 5. An increasing number of patients with BDH may be diagnosed with the development of imaging modalities. In the past, when the diagnosis of BDH relied on pathological examination following liver biopsy, it was considered to be a benign disease, managed by regular observation rather than surgery.
However, in recent years, an increasing number of cases demonstrated that there is a possible association between BDH and intrahepatic cholangiocarcinoma 3 — 5. Therefore, BDH should be resected when possible.
Thus far, whether BDH patients should undergo surgical treatment remains controversial. The aim of the present study was to retrospectively investigate 9 BDH cases in our hospital to highlight the importance of surgical treatment for BDH.
The medical records of these patients, including clinical, imaging and pathological characteristics, were retrieved. After the surgery, the final diagnosis was confirmed by two independent pathologists. All the patients were followed up by telephone communication until the end of this study or until the patients' death, and follow-up data were obtained. All the study participants, or their legal guardians, provided written informed consent prior to study enrollment. The patients included 7 men and 2 women, aged 35—70 years mean age, Two patients presented with clinical symptoms, whereas the remaining 7 patients were asymptomatic.
Only 1 patient had increased AFP levels The CEA level was normal 2. Five cases were positive for hepatitis B surface antigen. These results demonstrated that the BDH patients had no typical clinical symptoms or laboratory test data Table I.