Chijiiwa K
Department of Surgery 1, Kyushu University Faculty of Medicine, Fukuoka, Japan.
Aust N Z J Surg. 1993 Sep;63(9):690-2. doi: 10.1111/j.1445-2197.1993.tb00492.x.
One hundred and twenty-four patients with bile duct carcinoma treated during 16 years were analysed retrospectively for multiple biliary tract carcinoma. Sixty-two cases had undergone a cholecystectomy either as part of a pancreaticoduodenectomy or a bile duct resection or as part of an internal drainage procedure. Three (5%) were found to have an incidental separate carcinoma of the gall-bladder. The discontinuity between the two sites of cancer was histologically confirmed. Clinical concern was that approximately 5% of patients with bile duct carcinoma had a synchronous carcinoma of the gall-bladder. Thus, careful examination of the entire biliary tract including the gall-bladder is necessary at the time of curative surgery for bile duct carcinoma.
回顾性分析了16年间接受治疗的124例胆管癌患者，以研究多原发性胆道癌。62例患者接受了胆囊切除术，该手术要么是胰十二指肠切除术或胆管切除术的一部分，要么是内引流手术的一部分。其中3例（5%）被发现同时患有独立的胆囊癌。两处癌灶之间的不连续性经组织学证实。临床上需要关注的是，约5%的胆管癌患者同时患有胆囊癌。因此，在胆管癌根治性手术时，有必要仔细检查包括胆囊在内的整个胆道系统。
