胆管癌诊治的最新进展

Advancement in diagnosis and treatment of cholangiocarcinoma

胆管癌是胆道恶性肿瘤，近来全球发病率显著增加，同时肿瘤诊断技术和治疗方面研究也有新进展。临床检查新方法，如：正电子发射断层扫描（PET），内窥镜超声检查，光学结合断层扫描可提高早期的诊断率，已用于肿瘤的诊断和临床分期。对存在肝内巨大胆管肿瘤的病人，光动力学治疗是一种有效的辅助疗法。对手术不能切除肿瘤者，器官移植的长期疗效已有报道。胆管癌的分类和诊断研究对胆管癌病人的疾病评估和治疗具有重要意义。

Cholangiocarcinoma is a malignancy of bili- ary tract and its incidence has been increasing in recent years all over the world. Meanwhile, there have been advances in techniques for its diagnosis and treatment. Some new meth- ods such as PET, endoscopic ultrasonography and scopic CT can promote the diagnostic rate in the early stage and they have been used for diagnosis and staging of tumors. For those patients with large cholangiocarcinoma in the liver, photodynamic therapy is an effective neoadjuvant treatment. For those patients with unresectable cholangiocarcinoma, or- gan transplantation might be employed. Classification of cholangiocarcinoma and study on its diagnosis are important for disease evaluation in patients with the disease.