肝内胆管囊腺癌的临床特点及治疗

目的探讨肝内胆管囊腺癌的临床特点及其诊治。方法回顾性分析4例肝内胆管囊腺癌的临床资料及诊治经过。结果4例中3例误诊为肝囊肿，1例为肝脓肿。3例行根治性切除术，1例7年后死于复发；2例已分别随访12和17个月，现仍存活，状态良好。另1例病人未能接受外科手术治疗。结论肝内胆管囊腺癌的诊断主要依靠影像学和病理学检查。根治性切除术后，预后良好。

Clinical features and treatment of intrahepatic biliary cystadenocarcinoma

Objective To investigate the clinical features, diagnosis and treatment of intrahepatic biliary cystadenocarcinoma. Methods The clinical data of 4 patients with intrahepatic biliary cystadenocarcinoma treated in our hospital were retrospectively analyzed. Results Three patients were misdiagnosed as hepatic cyst and one as hepatic abscess. Radical excision were performed in three patients. One patient died of recurrence 7 years after operation. Two were followed up for 12 and 17 months, respectively. It was found that both were alive and well postoperatively. The rest one did not accept any operation. Conclusions The diagnosis of intrahepatic biliary cystadenocarcinoma mainly depends on imaging and pathological examination. Radical excision is the only effective treatmentand the prognosis is good.