【摘要】 目的探讨肝胆管囊腺瘤的临床特点、诊断方法和治疗措施。方法回顾分析2002年1月至2009年12月收治的12例肝胆管囊腺瘤患者的临床资料。结果肝胆管囊腺瘤临床表现缺乏特异性,12例患者4例误诊为肝囊肿,8例行B超引导下细针穿刺活检,结合影像学检查诊断为肝胆管囊腺瘤,术后病理确诊。全部患者行肿瘤标记物检查未见异常。2例患者总胆红素水平轻度升高。12例患者全部行切除术,随访至今未见复发。结论肝胆管囊腺瘤临床缺乏特异性表现,血清学检查价值有限,影像学结合细针穿刺活检有助于诊断,手术切除疗效确切,是本病的最佳治疗方法。更多还原

【Abstract】 Objective To discuss the clinical features,diagnostic methods and therapy of hepatobiliary cystadenoma.Methods The clinical data of 12 patients with cystadenoma who were admitted to Sun Yat-sen Memorial Hospital and Shanwei Yihui Foundation Hospital from January 2002 to December 2009,were analyzed retrospectively.Results Hepatobiliary cystadenoma presented no specific clinical manifestations.Four patients were misdiagnosed with hepatic cyst.Eight patients underwent fine needle aspiration cytology (FNAC)under ultrasound guidance,and were diagnosed with hepatobiliary cystadenoma,and postoperative pathologic results confirmed the diagnosis.Tumor markers were examined in all cases and no abnormality was found.TBIL level increased slightly in only two patients.A1l patients received hepatectomy and no recurrence was found.Conclusion Hepatobiliary cystadenoma presents no specific clinical manifestations.The value of laboratory examinations is limited.FNAC combined with radiology and clinical findings are helpful to diagnosis.Hepatectomy is the best choice so far to cure this disease.更多还原