Paraskevopoulos J A, Dennison A R, Johnson A G
University Department of Surgery, Royal Hallamshire Hospital, Sheffield, UK.
HPB Surg. 1991;4(4):277-89. doi: 10.1155/1991/92731.
Carcinoma of the gallbladder is a relatively rare malignancy which is difficult to diagnose. The advent of improved imaging methods and the expansion of interventional radiology however, combined with advances in surgical technique, has produced a change in attitude towards this tumour. The available world literature since 1960 has been reviewed and is presented in this article. However, whilst the outlook for diagnosis and treatment is improving, clearly the association with cholelithiasis (between 45% and 100%), is a cause for concern particularly with the advent of treatments (lithotripsy, percutaneous gallstone extraction) which leave gall bladder mucosa and residual fragments of stone in situ.
胆囊癌是一种相对罕见的恶性肿瘤,难以诊断。然而,随着影像技术的改进和介入放射学的发展,再加上手术技术的进步,人们对这种肿瘤的态度发生了变化。本文回顾并呈现了自1960年以来的世界文献。然而,尽管诊断和治疗前景正在改善,但显然与胆石症的关联(45%至100%)令人担忧,特别是随着治疗方法(碎石术、经皮胆囊取石术)的出现,这些治疗方法会使胆囊黏膜和结石残余碎片留在原位。