摘要
目的:探讨肝内胆管细胞癌的诊断与治疗方法,以提高肝内胆管细胞癌的诊治水平。方法:回顾性分析我院1990年1月至2006年12月经手术和病理证实的14例肝内胆管细胞癌患者的临床资料。结果:14例患者早期症状均无特异性,血AFP检查均为阴性,血CEA检查显著升高3例,CA199升高明显1例,4例术前诊断为肝内胆管细胞癌,10例误诊;本组行根治性切除手术5例(35.7%),姑息性手术9例。结论:肝内胆管细胞癌误诊率高,根治性手术切除率低,应进一步熟悉本病的临床特征,B超仍是首选的术前影像学检查方法。术中快速冰冻切片检查是避免误诊漏诊的重要方法,根治性手术切除是治疗本病最有效的方法。
Objective：To investigate the diagnosis and treatment of intrahepatic cholangiocarcinoma（ICC）,for improving the level of diagnosis and treament of ICC.Methods：The data of 14 cases of pathologically confirmed ICC by pathology and operation in our hospital from January 1990 to December 2006 were retrospectively analyzed.Results：In the early stage,no specific symptoms were found and AFP was negative in all the 14 cases and CEA significantly increased in 3 cases,CA199 significantly increased in only 1 case.Four cases were diagnosed as suffering from ICC and the others were misdiagnosed.Of all the 14 patients,5（35.7%）underwent radical resection and 9 received palliative excision.Conclusion：The rate of misdiagnosis was high but that of radical resection was low for ICC.Knowing its clinical features well,B-US is still the first choice in preoperative radiological examinations,and intraoperative biopsy is important to avoid misdiagnosis.Radical resection is the best way for treatment of ICC.
出处
《实用临床医学（江西）》
CAS
2007年第7期50-51,56,共3页
Practical Clinical Medicine
关键词
肝内胆管细胞癌
诊断
治疗
intrahepatic cholangiocarcinoma
diagnosis
treatment
