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53例原发性胆囊癌临床病理分析

Clinical Pathological Analysis for Gallbladder Carcinoma

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【作者】 吴蓉宜黄晓赤

【Author】 WU Rong-yi,HUANG Xiao-chi(Chengdu No.6 People’s Hospital,Sichuan Chengdu 610051,China)

【机构】 成都市第六人民医院

【摘要】 目的:回顾性分析原发性胆囊癌的病理特征及临床特点以期提高对该疾病的认识。方法:收集我院1999~2009年的原发性胆囊癌病例53例,全部病例经10%中性福尔马林固定,石蜡包埋切片,常规HE染色,部分病例经免疫组化标记,其中1例行黏液AB染色,显微镜下观察并进行临床资料分析。结果:胆囊癌好发于中老年女性,术前检出率低,大体观察多表现为胆囊壁增厚,黏膜粗糙,可伴有肿块形成,病理类型以腺癌最多见。结论:胆囊癌病史长,起病隐匿,术前诊断困难,确诊时往往已是中晚期,预后极差。

【Abstract】 Objective:To analyse the pathological character and clinical features of primary gallbladder carcinoma to improve the recognization of the disease.Methods:Collected 53 cases in our hospital from 1999 to 2009.All cases were in 10% neutral formalin-fixed,paraffin-embedded sections,routine HE staining,some cases of immunohistochemical staining,and mucus staining 1 case.All cases were observed under microscope,whilst clinical data analysis.Results:Gallbladder cancer likely occurred in the middle-aged women,preoperative detection rate was lower,generally showed the performance of the gallbladder wall thickening,mucosal rough,and could be associated with tumor formation.Adenocarcinoma was the most common pathological types.Conclusion:Primary gallbladder carcinoma has a long process.It’s difficult to diagnose before operating.It is often diagnosed in late,the prognosis is very poor.

  • 【文献出处】 现代临床医学 ,Journal of Modern Clinical Medicine , 编辑部邮箱 ,2010年02期
  • 【分类号】R735.8
  • 【被引频次】1
  • 【下载频次】41
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