原发性肝内胆管囊腺癌（附5例报告）

目的 探讨原发性肝内胆管囊腺癌的诊断及外科处理.方法 回顾1982年1日至1998年底收治的5例原发性肝内胆管囊腺癌诊治经验并结合文献贸料加以讨论.结果 5例中2例行根治性手术切除,分别存活了4.5年和3年,另3例肿块不能根治性切除,2例存活8目和20个月,1例已治疗5月,仍在治疗中.结论 原发性肝内胆管腺癌诊断主要依靠影像学和经皮肝穿刺活检,最佳的治疗方法是肿块的根治性切除.如果肿块能完整切除,预后较好.

PRIMARY INTRAHEPATIC BILIARY CYSTADENOCARCINOMA:A REPORT OF 5 CASES

Objective: A further research into the clinical diagnoses and therapy about primary introhepatic biliary cystadenocarcinoma. Methods: The authors report their institutions experience from 1982 to 1998 in theating five primary introhepatic biliary cystadenocarcinoma and review previously reported cases in the literature. Results:2 cases of the 5 patients, radical excision were performed. They were survival for 4.5 and 3 years. A nother 3 cases, the lesion couldn't be removed completely,2 cases were survival for 8 and 20 months, Another one was be treating for 5 months. Conclusions: Imaging and neddle aspiration biopsy are most valuable in the diagnosis of primary introhepatic biliary cystadenocarcinoma.Treatment of choice is radical excision of the mass. when the lesion can be removed completely, the prognosis is excellent.