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胆囊癌:分期、治疗与预后

Carcinoma of the gallbladder: staging, treatment, and prognosis.

作者信息

Nevin J E, Moran T J, Kay S, King R

出版信息

Cancer. 1976 Jan;37(1):141-8. doi: 10.1002/1097-0142(197601)37:1<141::aid-cncr2820370121>3.0.co;2-y.

DOI:10.1002/1097-0142(197601)37:1<141::aid-cncr2820370121>3.0.co;2-y
PMID:1247951
Abstract

Sixty-six cases of carcinoma of the gallbladder treated at The Memorial Hospital, Danville, Virginia, and the Medical College of Virginia, Richmond, were staged according to depth of invasion and spread and graded histologically; the findings were correlated with survival. Results from the two hospitals were essentially identical and the survival figures correlated well with 399 reported cases in the medical literature which could be staged according to the depth of invasion. A simple method combining staging and histologic grading of cancer of the gallbladder, which can easily be applied to all cancers of the gallbladder removed surgically and which should prove useful in the management of this disease, is described. Essentially all of the carcinomas of the gallbladder in the series were incidental findings at surgery for gall stones which may explain a relatively high proportion of superficial carcinomas which are cured by the removal of the gallbladder.

摘要

弗吉尼亚州丹维尔市纪念医院和里士满市弗吉尼亚医学院收治的66例胆囊癌患者,根据浸润深度和扩散情况进行分期,并进行组织学分级;研究结果与生存率相关。两家医院的结果基本相同,生存率数据与医学文献中399例可根据浸润深度分期的报告病例相关性良好。本文描述了一种简单的方法,该方法结合了胆囊癌的分期和组织学分级,可轻松应用于所有手术切除的胆囊癌,并且在该疾病的管理中应被证明是有用的。该系列中基本上所有的胆囊癌都是在胆囊结石手术中偶然发现的,这可能解释了通过切除胆囊治愈的浅表癌比例相对较高的原因。

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Is carcinoma of the gallbladder a curable lesion?胆囊癌是一种可治愈的疾病吗?
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