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胆囊癌。

Gallbladder Cancer.

机构信息

Division of Surgical Oncology, Department of Surgery, Icahn School of Medicine at Mount Sinai, 5 East 98th Street, Suite B17, Box #1259, New York, NY 10029-6574, USA. Electronic address: https://twitter.com/gwallermd.

Division of Surgical Oncology, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Shapiro Clinical Building, Boston, MA 02215, USA.

出版信息

Surg Clin North Am. 2024 Dec;104(6):1263-1280. doi: 10.1016/j.suc.2024.03.006. Epub 2024 Apr 24.

Abstract

Gallbladder cancer is the most common biliary tract malignancy, often detected incidentally post-cholecystectomy or at an advanced stage, historically linked to a poor prognosis. Advances in minimally invasive surgery and systemic therapies have improved outcomes. Global incidence varies, with risk factors including gender, age, gallbladder disease history, and polyp size influencing malignancy risks. Management involves cross-sectional imaging, staging laparoscopy in select cases, and radical cholecystectomy with lymphadenectomy and adjuvant therapy, though its use is limited. Trials are ongoing assessing the role of neoadjuvant therapy. Prognosis depends on the tumor stage, with early detection crucial for long-term survival.

摘要

胆囊癌是最常见的胆道恶性肿瘤,通常在胆囊切除术后偶然发现或处于晚期,历史上与预后不良相关。微创外科和系统治疗的进步改善了预后。全球发病率存在差异,风险因素包括性别、年龄、胆囊疾病史和息肉大小,这些因素影响着恶性肿瘤的风险。管理包括横断面成像、选择性分期腹腔镜检查以及根治性胆囊切除术和淋巴结清扫术及辅助治疗,但应用受限。正在进行评估新辅助治疗作用的试验。预后取决于肿瘤分期,早期发现对于长期生存至关重要。

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