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胆管癌周围神经浸润的研究进展
引用本文:冯玉杰,张炳远,卢云. 胆管癌周围神经浸润的研究进展[J]. 国际外科学杂志, 2010, 37(7). DOI: 10.3760/cma.j.issn.1673-4203.2010.07.017
作者姓名:冯玉杰  张炳远  卢云
作者单位:青岛大学医学院附属医院普外二科,青岛,266003;青岛大学医学院附属医院普外二科,青岛,266003;青岛大学医学院附属医院普外二科,青岛,266003
摘    要:胆管癌是一种破坏力极强的恶性肿瘤,具有低诊断率和高病死率的特点,手术是其唯一的根治方法,然而患者就诊往往在进展期,所以目前胆管癌的根治率很低,且手术复发率很高.胆管癌沿周围神经浸润是胆管癌发生发展过程中特别是在早期具有的非常重要的特性,且与术后复发率和预后密切相关.因此,如果了解胆管癌周围神经浸润的相关机制,早期对其进行干预,必将大大提高患者的手术切除率及预后.本文重点就目前胆管癌神经浸润研究最热门的几个可能的分子及其可能的相关机制进行综述.

关 键 词:胆管癌  神经浸润  神经生长因子  神经黏附分子  基质金属蛋白酶  神经递质  转化生长因子

Perineural invasion of cholangiocarcinoma
FENG Yu-Jie,ZHANG Bing-yuan,LU Yun. Perineural invasion of cholangiocarcinoma[J]. International Journal of Surgery, 2010, 37(7). DOI: 10.3760/cma.j.issn.1673-4203.2010.07.017
Authors:FENG Yu-Jie  ZHANG Bing-yuan  LU Yun
Abstract:Cholangiocarcinoma is a type of malignant tumor with high destruction.Due to its low diagnostic rate and high fatality rate,the operation is the unique therapeutic methods for the radical cure.However,the diagnosis and treatment for the disease were always in the phase of progression,so currently,the radical therapeutic rate is quite low,while the recurrence rate of the operation is extremely high.If the correlated mechanism of perineural invasion of cholangiocarcinoma could be understood,then interrupted its perineural invasion in the early period,that could greatly enhance the prognosis of cholangiocarcinoma patients.This article systematically reviews the progress of cholangiocarcinoma neural invasion related molecules and possible mechanism.
Keywords:Cholangiocarcinoma  Perineural invasion  Nerve growth factor  Neural cell adhesion molecule  Matrix metalloproteinase  Neurotransmitter  Transforming growth factor
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