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肝内胆管囊腺瘤与囊腺癌的诊断及外科治疗
引用本文:曲辉,孙跃民,王成锋,单毅,赵东兵,赵平. 肝内胆管囊腺瘤与囊腺癌的诊断及外科治疗[J]. 中华肝胆外科杂志, 2010, 16(1). DOI: 10.3760/cma.j.issn.1007-8118.2010.01.015
作者姓名:曲辉  孙跃民  王成锋  单毅  赵东兵  赵平
作者单位:中国医学科学院肿瘤医院腹部外科,北京,100021
摘    要:目的 探讨肝内胆管囊腺瘤和囊腺癌的诊断和治疗方法.方法 对中国医学科学院肿瘤医院1996年1月至2007年10月收治的8例肝内胆管囊腺瘤和囊腺癌的临床资料进行回顾性分析.结果 肝内胆管囊腺瘤和囊腺癌无特征性临床表现.术前AFP均为阴性;B超和CT的诊断正确率分别为75%(6/8)、87.5%(7/8).8例病人均行手术切除,7例行肝肿瘤不规则切除术,1例行左半肝切除术.术后病人恢复良好.8例均获得随访,除1例囊腺癌术后3年死于肿瘤复发转移外,其余均生存良好.结论 肝内胆管囊腺瘤与囊腺癌主要依靠影像学和病理诊断,手术切除可以获得满意的疗效.

关 键 词:肝肿瘤  囊腺瘤  囊腺癌  诊断  外科手术

Diagnosis and treatment of intrahepatic biliary cystadenoma and cystadenocarcinoma
QU Hui,SUN Yue-min,WANG Cheng-feng,SHAN Yi,ZHAO Dong-bing,ZHAO Ping. Diagnosis and treatment of intrahepatic biliary cystadenoma and cystadenocarcinoma[J]. Chinese Journal of Hepatobiliary Surgery, 2010, 16(1). DOI: 10.3760/cma.j.issn.1007-8118.2010.01.015
Authors:QU Hui  SUN Yue-min  WANG Cheng-feng  SHAN Yi  ZHAO Dong-bing  ZHAO Ping
Abstract:Objective To explore the diagnosis and treatment of intrahepatic biliary cystadenoma and cystadenocarcinoma. Methods Eight patients with intrahepatic biliary cystadenoma and cystadenocarcinoma treated in our hospital were studied retrospectively. The clinical and pathological data were reviewed. Results Most of the patients had nonspecific symptoms and serum AFP level was normal. Uhrasonography and CT diagnosed correctly in 75% and 87.5% of all patients, respectively. All the 8 patients underwent resection and had no recurrence after operation except that 1 case of cystadenocarcinoma died of recurrence 3 years later. Conclusion The diagnosis of intrahepatic biliary cystadenoma and cystadenocarcinoma depends on radiography and pathological examination. Surgery is recommended to get satisfactory results.
Keywords:Liver neoplasm  Cystadenoma  Cystadenocarcinoma  Diagnosis  Surgical procedure
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