[胆囊早期癌的特征——临床病理研究]

[Characteristics of early carcinoma of the gallbladder--clinico-pathological study].

作者信息

Kijima H, Ishihara N, Iwafuchi M, Watanabe H

出版信息

Gan No Rinsho. 1986 Aug;32(10):1240-5.

Abstract

53 early carcinomas of the gallbladder in 46 cases were studied. They were surgically resected and limited to the proper muscle layer and/or Rokitansky-Aschoff sinus. 19 percent of them were pointed out by preoperative examination, and 34 percent during the operation. Finally, 85 percent of them were macroscopically with formalin-fixed materials. 53 carcinomas were composed of 14 protruded type carcinomas (26%) and 39 superficial type ones (74%). 21 tumors (40%) were pure flat (II b) type carcinomas and 17 (32%) were tumors having flat (II b) area. In the latter, flat (II b) area spread widely in the carcinoma lesion. The early carcinomas had areas of 0.01 to 80 cm2 (average 16.1 cm2). 29 percent of them occupied wider area than the half of the resected gallbladder.

摘要

对46例患者的53例早期胆囊癌进行了研究。这些病例均接受了手术切除，肿瘤局限于固有肌层和/或罗-阿窦。其中19%在术前检查时被发现，34%在手术过程中被发现。最终，85%的病例通过甲醛固定材料进行了大体观察。53例癌中，突出型癌14例（26%），表面型癌39例（74%）。21例肿瘤（40%）为单纯平坦型（II b型）癌，17例（32%）为有平坦（II b）区的肿瘤。在后一组中，平坦（II b）区在癌灶中广泛分布。早期癌的面积为0.01至80平方厘米（平均16.1平方厘米）。其中29%的癌灶面积超过切除胆囊面积的一半。