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原发性胆囊类癌肿瘤:1例发生肝转移病例的切除术及预后分析

Primary carcinoid tumor of the gallbladder: resection of a case metastasizing to the liver and analysis of outcomes.

作者信息

Yokoyama Y, Fujioka S, Kato K, Tomono H, Yoshida K, Nimura Y

机构信息

Department of Surgery, Kiryu Kosei General Hospital, Gumma, Japan.

出版信息

Hepatogastroenterology. 2000 Jan-Feb;47(31):135-9.

Abstract

Gallbladder carcinoid tumor is a rare and aggressive neoplasm, usually lacking specific symptoms, as they typically are unassociated with the carcinoid syndrome, despite frequent hepatic spread. The patient was an 81-year-old man with right upper quadrant pain who underwent radical surgery for carcinoid tumor of the gallbladder with liver metastasis (preoperative diagnosis, carcinoma). We analyzed the outcome of previously reported cases of gallbladder carcinoid. Increasing tumor size and depth of invasion progressively compromised the 2-year survival. These findings underscore the importance of early detection.

摘要

胆囊类癌肿瘤是一种罕见且侵袭性强的肿瘤,通常缺乏特异性症状,因为尽管其常发生肝转移,但通常与类癌综合征无关。该患者为一名81岁男性,因右上腹疼痛就诊,接受了胆囊类癌伴肝转移的根治性手术(术前诊断为癌)。我们分析了既往报道的胆囊类癌病例的预后情况。肿瘤大小增加和浸润深度加深会逐渐影响2年生存率。这些发现强调了早期检测的重要性。

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