Kyriacou E
Department of Medicine, Royal Infirmary of Edinburgh, United Kingdom.
J Gastroenterol Hepatol. 1999 Mar;14(3):215-9. doi: 10.1046/j.1440-1746.1999.01838.x.
Carcinoma of the gall-bladder remains the fifth commonest gastrointestinal malignancy. Its associations, predisposing factors and epidemiology worldwide are reviewed in this article. The clinical presentation of carcinoma of the gall-bladder is frequently late, which accounts for the poor prognosis: this is also discussed. The use of relevant imaging techniques and aggressive management offer an improved outlook. These important aspects and others, such as the use of frozen section histology, the risks of trocar seeding and inadequate resection are mentioned.
胆囊癌仍然是第五大最常见的胃肠道恶性肿瘤。本文对其在全球范围内的关联因素、诱发因素及流行病学进行了综述。胆囊癌的临床表现通常较晚,这也是其预后较差的原因:本文对此也进行了讨论。相关成像技术的应用及积极的治疗方法可改善预后。文中还提到了其他一些重要方面,如冰冻切片组织学的应用、套管针种植风险及切除不充分等。