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[胆管囊腺瘤与囊腺癌]

[Biliary cystadenoma and cystadenocarcinoma].

作者信息

Dagradi A, Mangiante G, Musajo F G, Nicoli N, Marchiori L, Briani G F, Benati G, Asnicar A, Costa V, Mainente M

机构信息

Istituto di Clinica Chirurgica, Università di Verona.

出版信息

Chir Ital. 1990 Jun-Aug;42(3-4):100-8.

PMID:2101337
Abstract

The authors present their experience with 5 biliary cystadenomas (BCA) and 1 cystadenocarcinoma (BCAC). BCA are rare but intriguing lesions of the liver for the possibility of the former to evolve into malignant lesion. Preoperative diagnosis is often difficult also at ultrasound and CT scan. The possibility of BCA and BCAC should be always ruled out in every cystic lesion of the liver. In every doubt lesion surgical exploration is indicated and at least a biopsy should be performed. The procedure of choice for BCA is radical resection, while palliative procedures may be justified only in poor risk patients.

摘要

作者介绍了他们对5例胆管囊腺瘤(BCA)和1例囊腺癌(BCAC)的治疗经验。BCA虽然罕见,但因其有可能演变为恶性病变,所以是肝脏中令人感兴趣的病变。术前诊断在超声和CT扫描时也常常困难。在肝脏的每一个囊性病变中都应始终排除BCA和BCAC的可能性。对于每一个可疑病变,都应进行手术探查,并且至少应进行活检。BCA的首选治疗方法是根治性切除,而姑息性手术仅在风险较高的患者中才合理。

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