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胆囊癌发病的相关因素分析及其处理

THE RISK FACTORS OF PRIMARY CARCINOMA OF THE GALLBLADDER AND THEIR TREATMENT

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【作者】 房林谭江平叶世会郝杰民滕宏飞蔡诚忠

【Author】 FANG Lin,TAN Jiang ping,YE Shi hui, et al.Shanghai Railway Hospital,Tongji University (Shanghai,200072)

【机构】 同济大学附属铁路医院同济大学附属铁路医院 上海200072上海200072上海200072

【摘要】 目的 :探讨胆囊癌发病的高危因素及其处理。方法 :对 1990年 1月— 2 0 0 2年 6月经手术和病理证实的 4 0例胆囊癌病例资料进行回顾性分析。结果 :4 0例胆囊癌病例 ,伴发胆结石 2 9例 ,无胆结石者 11例。 4 0例中伴有萎缩性胆囊炎 6例 ,胆囊腺癌伴腺肌瘤增生 3例。结论 :胆囊癌发病与胆囊结石、萎缩性胆囊炎、胆囊息肉样病变有一定关系 ,对胆囊癌的高危因素应有足够的认识并予以处理 ,这样才能降低胆囊癌的发病率 ,改善预后。

【Abstract】 Objective:To explore the risk factors of primary carcinoma of the gallbladder and their treatment.Methods:A retrospective clinical analysis was made in 40 patients with pathologically proved gallbladder carcinoma who were admitted to and treated in our hospital from January 1990 to June 2002.Results:Among 40 cases of gallbladder carcinoma,29 were associated with gallstones.Six patients were associated with chronic hypotrophic cholecystitis.Three patients were associated with polypoid lesion.Conclusion:Gallstones,hypotrophic cholecystitis and polypoid lesion are associated with the development of gallbladder carcinoma.Finding and resection of the high risk lesions for gallbladder carcinoma on time can prevent formation of gallbladder carcinoma,which can improve the prognosis of gallbladder carcinoma.

  • 【文献出处】 肿瘤研究与临床 ,Cancer Research and Clinic , 编辑部邮箱 ,2002年06期
  • 【分类号】R735.8
  • 【被引频次】2
  • 【下载频次】78
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