原发性胆囊癌1898例病理类型的分析

目的：探讨胆囊癌的病理类型及特点。方法：对１８９８例经病理证实的胆囊癌临床病理资料进行了分析。结果：１８９８例胆囊癌中腺癌占９２．９％，其中有ＮＯＳ（Ｎｏｔ ｏｔｈｅｒｗｉｓｅ ｓｐｅｃｉｆｉｅｄ）腺癌、乳头状腺癌、粘液腺癌、未分化腺癌、管状腺癌、印戒细胞癌等类型，鳞癌及腺鳞癌占４．９％，腺瘤恶变占１．７％。此外尚发现炎症恶变３例，息肉恶变４例，类癌及恶性淋巴瘤各１例。结论：原发性胆囊癌中腺癌最多，侵袭能力强，预后差。其组织学类型比癌细胞分化程度更能决定其预后。

ANALYSIS OF THE 1898 HISTOLOGIC TYPE OF PRIMARY CARCINOMA

Objectives Inquire into histologic type and character of the primary gallbladder carcinoma (PGC). Methods To analyze 1898 clinical data of the PGC that had been confirmed by pathology. Results 92.9% of all PGC were recorded as adenocarcinoma. Adenocarcinoma included NOS (not otherwise specified) adenocarcinoma, papillary adenocarcinoma, mucinous adenocarcinoma, non-differentiation adenocarcinoma, signet ring cell carcinoma, tubular adenocarcinoma. Squamous cell carcinoma and adenosquamous carcinoma represent 4.9%. Adenocarcinoma that was associated with adenmas was 1.7%. In addition, there were data on 3 inflammation canceration, 4 polyp cancerations, 1 carcinoid tumor, 1 maligant lymphoma. Conclusions Adenocarcinoma was most frequently reported histologic type in PGC. Histologic type of PGC was more influence on survival than histologic grade.