Amir H, Kirei B
Department of Surgery, Faculty of Medicine, University of Dar es Salaam, Tanzania.
Cent Afr J Med. 1990 Jul;36(7):164-6.
This study comprises a review of all patients of primary carcinoma of gallbladder based on biopsy material received from 1969-1988 at the Cancer Registry of the Central Pathology Laboratory, Muhimbili Medical Centre, Dar es Salaam. This study is the first of its kind involving primary carcinoma of gallbladder in Tanzania. The clinical and pathological features of ten patients of primary carcinoma of gallbladder treated at Muhimbili Medical Centre are described. Males outnumbered females. The maximum incidence was seen in the 6th decade. Pain and the presence of a mass were two most common clinical features. Gallstones coexisted in 40 percent of patients. Ancillary investigations were of little value in preoperative diagnosis. At laparotomy cholecystectomy was possible in all the cases owing to inapparent carcinoma of gallbladder. One patient is alive 6 months after surgery.
本研究基于1969年至1988年期间从达累斯萨拉姆穆希姆比利医疗中心中央病理实验室癌症登记处收到的活检材料，对所有胆囊原发性癌患者进行了回顾。本研究是坦桑尼亚首例涉及胆囊原发性癌的此类研究。描述了在穆希姆比利医疗中心接受治疗的10例胆囊原发性癌患者的临床和病理特征。男性多于女性。最高发病率出现在第六个十年。疼痛和肿块是两个最常见的临床特征。40%的患者并存胆结石。辅助检查在术前诊断中价值不大。由于胆囊隐匿性癌，所有病例在剖腹手术时均可行胆囊切除术。一名患者术后6个月仍存活。
