摘要
目的 提高肝内胆管癌的诊治水平。方法 分析 2 2例肝内胆管癌的临床病理特征及治疗。结果 :男性 8例 ,女性 1 4例。病程 :3个月至 40年。症状 :腹痛、畏寒、发热、黄疸、乏力、纳差、体重减轻与贫血等 ,合并结石者ALP与γ GT升高 ,癌变则CEA升高。分为三型 :包块型、胆管周围浸润型与胆管内生长型。 1 2例病人经受肝切除或广泛的肝切除和 (或 )肝外胆管切除 ,1 2例存活 1年 ,7例存活 5年。
Objective To improve level of diagnosis and treatment of intrahepatic cholangiocarcinoma (IHCC). Methods The clinicopathological features and surgical treatment of IHCC were analyzed in 22 patients. Results Of the 22 patients, 8 were male and 14 female. The illness course was 3 months to 40 years and the symptoms included abdominal pain, jaundice, chills, fever, fatigue, body weight loss, anorexia and anemia etc. γ GT was increased in patients complicated with hepatolithiasis and CEA elevated in those with oncogenesis. The carcinoma was divided into three types of mass formation, periductal infiltration and intraductal growth. Twelve patients underwent hepatic lobectomy or extended lobectomy with or without resection of extrahepatic hile ducts. The overall respectability was 54 5%. The 1 and 5 year survival rates were 50% and 30%, respectively. Conclusions An aggressive surgical approach is the best treatment.
出处
《中华肝胆外科杂志》
CAS
CSCD
2002年第8期475-477,共3页
Chinese Journal of Hepatobiliary Surgery
关键词
胆管肿瘤
切除
扩散类型
治疗
Bile duct neoplasms
Resection
Diffusive type
