Escartín A, Doyle H, Madariaga J R
Department of Surgery, School of Medicine, University of Pittsburgh, PA, USA.
Rev Esp Enferm Dig. 1998 Aug;90(8):580-91.
Cholangiocarcinoma is the most frequent malignant neoplasm of the bile ducts. It continues to be a diagnostic and therapeutic challenge because of its form of growth and intimate relation with hepatic hilus structures. While cholangiocarcinomas situated distal to the biliary confluence have well-defined characteristics and treatment, cholangiocarcinomas situated in or proximal to the biliary confluence are problematic. A study was made of the so-called intrahepatic cholangiocarcinomas by establishing two types, peripheral and hilar. Their features and therapeutic options are analyzed and published results are reviewed.
胆管癌是最常见的胆管恶性肿瘤。由于其生长方式以及与肝门结构的密切关系,它仍然是一个诊断和治疗上的挑战。虽然位于胆管汇合部远端的胆管癌具有明确的特征和治疗方法,但位于胆管汇合部或其近端的胆管癌则存在问题。通过将所谓的肝内胆管癌分为外周型和肝门型两种类型进行了一项研究。分析了它们的特征和治疗选择,并对已发表的结果进行了综述。