摘要
目的探讨少见的肝内胆管囊腺瘤和囊腺癌临床特点与治疗方法。方法回顾分析8例肝内胆管囊腺瘤和囊腺癌的临床病理表现、诊治经验并结合文献资料进行讨论。结果本组患者男3例,女5例。囊腺瘤2例,囊腺癌6例。3例患者无症状,5例主要表现为腹痛,可伴有发热。超声检查适用于筛选和随访,对于可疑病例可结合 CT 检查。手术治疗是首选的治疗方法,彻底切除肿瘤是根治疾病、提高生存率和预防肿瘤复发的关键,经过彻底手术切除的患者长期随访效果好。结论提高对肝内胆管囊腺瘤和囊腺癌的诊断率对治疗及预后至关重要,彻底切除肿瘤是保证生存率、减少复发率的关键。
Objective To summarize the experience in the diagnosis and treatment of biliary cystadenoma and cystadenocarcinoma. Methods The clinical data of 8 patients of biliary cystadenoma and cystadenocarcinoma, 3 males and 5 females, aged 55.8 （26 ～ 71 ）, were analyzed retrospectively. Results There were 2 cases of biliary cystadenoma and 6 vases of biliary cystadenocarcinoma confirmed by histopathologic examination. Three patients were found by routine physical examination and the other 5 patients admitted to the hospital with abdominal pain with or without fever. Ultrasound examination was a good choice for primary diagnosis and follow-up, while CT scan was better for the suspected cases. Surgical therapy was a major treatment method and was important for total resection to achieve longer survival time and lower recurrence rate. The results of long-term follow-up were satisfactory if the tumors were resected completely. Conclusion The accurate diagnosis is truly important for the following treatment of biliary cystadenoma and cystadenocarcinoma. The completely resection of the tumors is the key point to achieve a better outcome.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2007年第18期1266-1268,共3页
National Medical Journal of China
关键词
肝脏肿瘤
胆管
囊腺瘤
囊腺癌
Liver tumor
Biliary duct
Cystadenoma
Cystad
