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原发性肝内胆管囊性肿瘤 被引量:1

Primary cystic tumors of bile intrahepatic duct
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摘要 原发性肝内胆管囊性肿瘤(PCTIHBD)比较罕见可分为囊腺瘤和囊腺癌。它们分泌大量的粘液形成单房和多房性囊肿,囊内壁发出乳头状赘生物突入囊腔,囊腺癌通常被认为由囊腺瘤恶变而来。文章报告PCTIHBD5例,其中囊腺癌4例,囊腺瘤1例。5例经B超和CT检查后均诊断为肝癌,只是在剖腹探查和病理学检查后才获得正确的诊断,手术切除为唯一有效的治疗。4例囊腺癌中1例术后第6天死于大出血,1例随访7个月后死于肝内复发;另2例分别随访4年及5年均存活。1例囊腺瘤手术7年仍健在。 Primary cystic tumors of intrahepatic bile duct (PCTIHBD) are rare, and can be divided into cystadenoma and cystadenocarcinoma. These tumors can produce large amount of mucus forming monolocular or multilocular cysts with papillary projections protruding from inner wall. Cystadenocarcinoma is generally believed to arise from cystadenoma. This paper reports 5 case of PCTIHBD (4 cases of cystadenocarcinoma and 1 case of cystadenoma). All cases were diagnosed as liver cancers by ultrasonography and CT. Correct diagnoses were only made after surgical laparotomy and pathological examination. Surgical excision is the only effective treatment. Of 4 cases of cystadenocarcinoma, 1 died from massive bleeding 6 days after operation, 1 died of recurrence 7 months postoperatively, the other 2 were followed up for 4 and 5 years respectively and are living and well. The patient with cystadenoma has been well for 7 years since operation.
出处 《中国普通外科杂志》 CAS CSCD 1997年第1期6-8,共3页 China Journal of General Surgery
关键词 肝内 胆管肿瘤 原发性 囊性肿瘤 bile duct\ primary cystic tumor
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同被引文献2

  • 1兰乃祥.巨大肝内胆管囊腺癌1例[J].肝胆外科杂志,1999,7(3):224-231.
  • 2Kawarada Y, Taoka H, Mizumoto R. A report of 5 cases of cystic bile duct carcinoma of the liver and proposal of a new classification[J], Castroenterol-Jpn, 1991, 26( 1 ) : 9 - 80.

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