胆管囊腺肿瘤的诊断与治疗

Diagnosis and treatment of biliary cystic tumors

胆管囊腺肿瘤（BCTs）是一种较少见的肝脏囊性肿瘤,占肝脏全部囊性病变的比例≤5％.BCTs好发于中老年女性,术前缺乏特异性诊断指标,主要依赖影像学诊断,影像学相对特征表现为多房性伴乳头状突起及分隔的囊性肿瘤.其误诊误治率极高,尤其需与肝囊肿相鉴别.BCTs疑似患者应首选完整的根治性切除,手术切除范围包括囊性肿瘤在内的部分正常肝组织.根治性切除术后BCTs患者总体预后较好,但仍有一定的复发率,需规范化随访检查,一旦发现肿瘤复发,及时行再手术仍可获得较好疗效.

Biliary cystic tumors （BCTs） are rare cystic tumors and are accounted for less than 5% of liver cysts.BCTs are very common in middle-aged and elderly women,and depend on diagnosis of imaging including papillary projection or multilocular cystic liver mass.BCTs are frequently misdiagnosed due to the absence of specific diagnostic indicators,which should differentiate from diagnosis of hepatic cystic.Complete surgical resection is the first choice for BCTs with a good out-come,in addition to low recurrence.Once recurrence was identified in follow-up,BCTs can be treated by reoperation with a good outcome.