胆囊息肉样病变的病理变化及病理临床联系

本文报道胆囊息肉样病变（PLG）98例，经观察，PLG按病理变化及性质可分为两大类：肿瘤性病变，包括腺癌及腺癌，共17例，占17．3％；另一类为非肿瘤性增生性病变81例，占82．7％。其中最常见的是胆固醇性息肉，炎性息肉，均无恶性倾向。经病理临床分析，本文提出PLG的手术指征，认为符合以下条件之一者应积极考虑手术切除：（1）息肉直径＞1．5cm；（2）息肉基底宽，局部胆囊壁增厚；单发（3）短期复查息肉体积变大。另提出凡符合下列两个或两个以上条件者也应积极考虑手术；（1）年龄超过50岁；（2）单发；（3）直径＞1．0cm；（4）合并有结石；（5）临床症状有进展。本文特别提出了胆囊炎性假瘤，它虽不常见，但因其体积较大，组织象易与间叶性肿瘤相混淆，应引起临床与病理的重视。

CORRELATION BETWEEN PATHOLOGIOAL FEATURE AND CLINICAL MANIFESTATION IN PATIENTS WITH POLYPUS OF HALLBLADDED

98 cases with polypus of gallbladder(PLG)were analysed in pathoiogy which wasdivided two types, 17 cases (17. 3% )was tumorous lesions in one type including adeno-carcinoma and adenoma, 81 cases (82. 7 % ) was non -tumorous feature that was hyper-plasia inclu ding choliesterol polypus, inflanmmational polypus.We suggest that there are follows indications for surgical excision:1 The diameters is more than 1. 5 cm;2 The widen of polypus in basal part and wall of gallbladder is thicken;3 The volum of polypus is increased progressivejy in follow-up.We thought that the surgical management should be considered in patients morethan 50 years oid with single polypus,the diarneter more than 1. 0 cm and the conditlonis deteriorated.The inflammational pseudo-tumour was discussed in the paper.