Sang Xin-ting, Wu Wen-ming, Mao Yi-lei, Lu Xin, Yang Zhi-ying, Zhong Shou-xian, Huang Jie-fu
Liver Surgery Center, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China.
Zhonghua Yi Xue Za Zhi. 2007 May 15;87(18):1266-8.
To summarize the experience in the diagnosis and treatment of biliary cystadenoma and cystadenocarcinoma.
The clinical data of 8 patients of biliary cystadenoma and cystadenocarcinoma, 3 males and 5 females, aged 55.8 (26 approximately 71), were analyzed retrospectively.
There were 2 cases of biliary cystadenoma and 6 vases of biliary cystadenocarcinoma confirmed by histopathologic examination. Three patients were found by routine physical examination and the other 5 patients admitted to the hospital with abdominal pain with or without fever. Ultrasound examination was a good choice for primary diagnosis and follow-up, while CT scan was better for the suspected cases. Surgical therapy was a major treatment method and was important for total resection to achieve longer survival time and lower recurrence rate. The results of long-term follow-up were satisfactory if the tumors were resected completely.
The accurate diagnosis is truly important for the following treatment of biliary cystadenoma and cystadenocarcinoma. The completely resection of the tumors is the key point to achieve a better outcome.
总结胆管囊腺瘤和囊腺癌的诊断与治疗经验。
回顾性分析8例胆管囊腺瘤和囊腺癌患者的临床资料,其中男性3例,女性5例,年龄55.8岁(26至71岁)。
经组织病理学检查确诊胆管囊腺瘤2例,胆管囊腺癌6例。3例患者通过常规体检发现,其余5例因腹痛伴或不伴有发热入院。超声检查是初步诊断和随访的良好选择,而CT扫描对疑似病例更好。手术治疗是主要治疗方法,对于实现完全切除以获得更长生存时间和更低复发率很重要。如果肿瘤完全切除,长期随访结果令人满意。
准确诊断对于胆管囊腺瘤和囊腺癌的后续治疗至关重要。肿瘤的完全切除是取得更好疗效的关键。