Zapata Solari C, Valdivia M
Clínica Javier Prado, Lima-Peru.
Rev Gastroenterol Peru. 1992;12(2):71-81.
We study the clinic, surgical pathologic aspects of 81 patients with cancer of the gallbladder and extrahepatic bile ducts, dividing them in 4 groups by localization. The majority of cases were women, the average in age was 57.05 years with the greatest incidence between the 5th and 6th decade of life. We can conclude that the symptoms and signs are not useful as well as the laboratory and radiologic test. Adenocarcinoma was the most common type of cancer and the outcome of the patients was very poor because cancer has grown beyond the limits of resectability before it is clinically apparent. Its important to be aware that 80% of the cancers of the gallbladder had lithiasis.
我们研究了81例胆囊癌和肝外胆管癌患者的临床及手术病理特征,根据肿瘤部位将他们分为4组。大多数病例为女性,平均年龄为57.05岁,发病高峰在50至60岁之间。我们可以得出结论,症状、体征以及实验室和影像学检查均无诊断价值。腺癌是最常见的癌症类型,患者预后很差,因为在临床出现明显症状之前,癌症就已超出可切除范围。需要注意的是,80%的胆囊癌患者伴有结石。