肝内胆管结石合并胆管癌

Cholangiocarcinoma in hepatolithiasis.

作者信息

Chen P H, Lo H W, Wang C S, Tsai K R, Chen Y C, Lin K Y, Siauw C P, Hwang R R, Liu M H, Ko H C

出版信息

J Clin Gastroenterol. 1984 Dec;6(6):539-47. doi: 10.1097/00004836-198412000-00010.

DOI:10.1097/00004836-198412000-00010

Abstract

During the period of 1979-1982, 10 cases of cholangiocarcinoma associated with hepatolithiasis were seen. We report the clinical features of 10 cases of cholangiocarcinoma in association with hepatolithiasis, along with detailed histopathology from the four resected specimens. Our observations suggest that whenever intrahepatic stones are encountered in patients over 50 years of age with a long history of recurrent cholangitis and intractable pain, further examination including echo-guided aspiration cytology, liver scanning, and peritoneoscopy should be performed to rule out a coexisting cholangiocarcinoma.

摘要

在1979年至1982年期间，共发现10例胆管癌合并肝内胆管结石患者。我们报告10例胆管癌合并肝内胆管结石的临床特征，并给出4例切除标本详细的组织病理学情况。我们的观察结果表明，对于年龄超过50岁、有复发性胆管炎和顽固性疼痛病史且发现肝内结石的患者，应进一步检查，包括超声引导下细针穿刺细胞学检查、肝脏扫描和腹腔镜检查，以排除合并存在的胆管癌。