Kobayashi Akira, Miyagawa Shinichi, Miwa Shiro, Nomura Kazuhiko, Nakata Takenari, Mihara Motohiro, Kusama Kei, Soeda Junpei
First Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Hepatogastroenterology. 2007 Mar;54(74):350-3.
We report three patients who underwent radical resections for advanced squamous cell carcinoma of the gallbladder, two of whom are still alive without recurrence 10 and 9 years after surgery. The other patient, who had lymph node involvement, suffered recurrence of the disease and died 9 months after surgery. Our experience indicates that radical surgery can sometimes provide a chance for long-term survival in patients with this neoplasm. Lymph node metastasis, albeit a rare event, might be a poor prognostic factor in patients with this type of gallbladder carcinoma.
我们报告了3例接受胆囊晚期鳞状细胞癌根治性切除术的患者，其中2例在术后10年和9年仍存活且无复发。另1例有淋巴结转移的患者术后疾病复发，于术后9个月死亡。我们的经验表明，根治性手术有时可为患有这种肿瘤的患者提供长期生存的机会。淋巴结转移虽然罕见，但可能是这类胆囊癌患者预后不良的因素。
