【摘要】 目的探讨意外胆囊癌的临床病理特点。方法收集普外科2001~2011年胆囊切除术中或术后发现的12例意外胆囊癌病例,从临床诊断、分期及病理检查、病理诊断几个方面进行分析。结果 12例意外胆囊癌患者中7例诊断为胆囊结石,3例为慢性萎缩性胆囊炎,2例为胆囊息肉。经病理检查,肿瘤位于胆囊颈部3例,胆囊体部5例,胆囊底部3例,弥漫累及胆囊颈体底部1例。肿瘤形态以厚壁型胆囊癌居多。病理诊断:腺癌11例,腺鳞癌1例;高分化3例,中分化6例,低分化3例。结论病理诊断是意外胆囊癌确诊的金标准,对存在胆囊癌高危因素人群应常规或及时行术中快速冰冻切片检查,以明确诊断并采取相应的处置措施。更多还原

【Abstract】 Objective To investigate the clinicopathologic features of unexpected gallbladder carcinoma.Methods 12cases of unexpected gallbladder cancers during or after cholecystectomy were collected from 2001to 2011and retrospectively analyzed of the aspects of clinical diagnosis,clinical stages,pathological examination and pathologic diagnosis.Results 7cases were diagnosed as calculous cholecystitis,3cases as chronic atrophic cholecystitis,2cases as gallbladder polyps.3cases as tumors located in the neck of the gallbladder,5cases as the body of the gallbladder,3cases as the bottom of gallbladder,1case as diffused infiltration the neck,the body and the bottom of gallbladder.The tumor was mainly looked like the thick wall type.11cases adenocarcinoma and 1case adenosquamous carcinoma were respectively diagonsed.From the degree of differentiation,3cases were well-differentiated,6cases moderately differentiated,3cases poorly differentiated.Conclusion Pathological analysis is the gold standard of unexpected gallbladder carcinoma,which suggested that the high risk factor patients should routinely or timely do rapid pathological diagnosis.更多还原