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经手术病理证实的胆囊癌53例,皆为腺癌,其中高、中分化型为94.4％,低分化型为5.6％;病变浸润深度:粘膜内癌(m)1.9％、固有肌层癌(Pm)5.6％,浆膜下层癌(SS)22.1％,浆膜癌(S)70.4％。术前进行了癌胚抗原(CEA)和糖链抗原(CA_(19-9))的测定,其阳性率CEA为54.1％,CA19—9为81.3％,而且早期胆囊癌也可以呈现阳性,并且随着病变对胆囊壁浸润深度的增加,其阳性率增高。
53 cases of gallbladder carcinoma confirmed by operation and pathology were adenocarcinomas, among which high and moderately differentiated types were 94.4%, and low-differentiated types were 5.6%; depth of lesion invasion: intramucosal cancer (m) 1.9%, muscularis propria cancer ( Pm) was 5.6%, subserosal cancer (SS) was 22.1%, and serosal cancer (S) was 70.4%. Carcinoembryonic antigen (CEA) and carbohydrate antigen (CA 19-9) were measured before operation. The positive rate of CEA was 54.1%, CA19-9 was 81.3%, and early gallbladder cancer could also be positive. With the increase of gallbladder wall infiltration depth, the positive rate increased.