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对于临床上胆囊切除术后由病检才能发现的胆囊癌,即所谓非显性胆囊癌,术后有一定的复发率。对这种病人在初次胆囊切除后再次行根治性手术是否能改善预后仍无定论。作者选择了术后胆囊病检发现的胆囊癌病例共98例,依据浸润深度按病理学“PT”分级成以下等级:PT_1:肿瘤侵入粘膜或肌层。PT_2:肿瘤浸润到肌层下结缔组织、但未达到浆膜外或肝脏。PT_3:肿瘤侵入到浆膜外或进入一个临近脏器.
For gallbladder cancer that can be found by clinical examination after cholecystectomy, so-called non-dominant gallbladder cancer, there is a certain recurrence rate after surgery. It is still inconclusive whether this patient can perform radical surgery again after primary cholecystectomy. The authors selected a total of 98 cases of gallbladder carcinoma found after postoperative gallbladder disease examination. According to the pathological “PT” classification, the following grades were classified according to the depth of invasion: PT_1: The tumor invaded the mucosa or muscularis. PT_2: The tumor infiltrated into the connective tissue under the muscle, but did not reach the outside of the serosa or the liver. PT_3: Tumor invades into the serosa or into an adjacent organ.