Malvy P, Le Neel J C, Nomballais M F, Borgne J L, Visset J
J Chir (Paris). 1976 Jul-Aug;112(1-2):15-24.
Papillary carcinoma is rare as it represents only 5 p. cent of carcinomas of the common bile duct. The authors report 4 cases and emphasize the special characteristics of this carcinoma. The long prodromal phase, dominated by attacks of cholangitis and the incomplete appearance of the jaundice when fully constituted. It affects mainly the common bile duct and has, on microscopy, a villous appearance. Its papillary structure consists of fine coalescent fringes producing a typical glandular appearance. Finally, it evolves very little, therefore there is a good hope of survival even after palliative treatment.
乳头状癌较为罕见,仅占胆总管癌的5%。作者报告了4例病例,并强调了这种癌的特殊特征。前驱期较长,以胆管炎发作为主,黄疸完全形成时表现不完全。它主要累及胆总管,显微镜下呈绒毛状外观。其乳头状结构由细小融合的条纹组成,形成典型的腺管外观。最后,它进展非常缓慢,因此即使经过姑息治疗,仍有很大的生存希望。