25例原发性胆囊癌临床病理分析.doc

25例原发性胆囊癌临床病理分析
(作者:___________单位: ___________邮编: ___________)
作者:张伟华,陈秋艳,黄勇,杨康鹃
【摘要】[背景]探讨原发性胆囊癌的临床病理特点.[病例报告]回顾性分析25例胆囊癌手术标本的病理资料,结果见浸润型为16例,乳头突起型为6例,溃疡坏死型为3例;低分化腺癌为12例,高分化腺癌为6例,乳头状腺癌为4例,鳞状细胞癌为2例,黏液腺癌为1例.[讨论]胆囊癌主要临床表现与慢性胆囊炎相似,术前诊断较困难,B型超声波检查是胆囊癌诊断最常用且可靠的手段,提高胆囊癌患者生存率的关键仍是早期诊断及早期治疗.
【关键词】胆囊肿瘤;病理分型;胆囊炎
ABSTRACT:BACKGROUNDTo investigate the clinicopathological features of primary carcinoma of the gallbladder (PCG).CASE REPORTSThe pathological data of 25 cases with carcinoma of gallbladder were retrospectively analyzed. The results showed that 16 cases were of infiltrative type, 6 cases of papillary type and 3 cases of necrotizing ulcerative type; the histological types was that 12 cases were of poorly differentiated adenocarcinoma, 6 cases of well differentiated adenocarcinoma, 4 cases of papillary adenocarcionoma, 2 cases of sqnamouscell carcinoma and 1 case of mucinous clinical manifestation of gallbladder carcinoma is similar to the chronic cholecystitis, and the PCG is some difficult for preoperative diagnosis. The B ultrasound examination is the more frequently used and reliable method for diagnosis the PCG, and at present, the early diagnosis and treatment of gallbladder carcinoma is the key to raise survival rate.
Key words:gallbladder neoplasms;pathological analysis;cholecystitis
原发性胆囊癌是胆道恶性肿瘤之一,占所有肿瘤的1%左右,居消化道肿瘤第6位,常发生于50~70岁的老年女