摘要
目的探讨肝内胆管囊腺瘤的诊断与治疗方法。方法回顾性分析13例肝内胆管囊腺瘤患者临床资料。结果肝内胆管囊腺瘤主要临床症状为上腹部不适或疼痛;13例甲胎蛋白、癌胚抗原水平均正常,3例糖链抗原19-9升高;13例患者均行根治性肝切除手术,5例术前经影像学检查与术后组织病理学检查结果相符,术后组织病理结果显示肝内胆管囊腺瘤11例,肝内胆管囊腺瘤恶变2例。结论肝内胆管囊腺瘤术前确诊困难,易恶变,根治性肝切除术是其主要治疗方法。
Objective To study the diagnosis and treatment of intrahepatic biliary cystadenoma.Methods The clinical data of 13 patients with intrahepatic biliary cystadenoma were analyzed retrospectively.Results The major symptoms were upper abdominal discomfort or pain.The levels of alpha-fetoprotein and carcinoembryonic antigen were normal in all cases.The level of carbohydrate antigen 19-9increased in 3patients.The imaging results of 5patients agreed to the postoperative histopathological results.The histopathological results confirmed intrahepatic biliary cystadenoma in 11 patients,and bile duct cystadenoma in 2.ConclusionIntrahepatic biliary cystadenoma is hard to be diagnosed,and easy to develop to cystadenocarcinoma.Radical hepatectomy is the main treatment.
出处
《中华实用诊断与治疗杂志》
2015年第3期279-280,共2页
Journal of Chinese Practical Diagnosis and Therapy
关键词
肝内胆管囊腺瘤
诊断
治疗
Intrahepatic biliary cystadenoma
diagnosis
treatment
