Houry S, Huguier M, Flabeau F
J Chir (Paris). 1984 Jan;121(1):17-22.
Of 21 patients with primary carcinoma of gallbladder the diagnosis has been considered before operation in three. Nine patients underwent laparotomy only, six a palliative resection, and six a curative resection. In these three groups, 17 patients died. The mean survival time was respectively 1.5.4.3, an 8.6 months. Four patients are alive. Three of them had a resection for a carcinoma limited to the wall of gallbladder. Two patients had radiation therapy, one after palliative resection (died 11th month), the other one after biliary and digestive by-pass (alive with a follow-up of 15 months). Three patients had dosages of carcino-embryonic antigen. Our experience suggested that: diagnosis may be suggested by echography, The usefulness of carcino-embryonic-antigen levels, radiotherapy may increase the effectiveness and length of palliation.
在21例原发性胆囊癌患者中,术前有3例被考虑到诊断。9例仅接受了剖腹手术,6例行姑息性切除,6例行根治性切除。在这三组中,17例患者死亡。平均生存时间分别为1.5、4.3和8.6个月。4例患者存活。其中3例因癌局限于胆囊壁而接受了切除术。2例接受了放射治疗,1例在姑息性切除后(第11个月死亡),另1例在胆肠吻合术后(存活,随访15个月)。3例患者检测了癌胚抗原水平。我们的经验表明:超声检查可能提示诊断,癌胚抗原水平有一定作用,放射治疗可提高姑息治疗的效果和延长缓解期。