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胆囊癌是胆道系统中最常见的恶性病变,居消化道恶性肿瘤的第五位.其临床表现缺乏特异性,常难与胆囊良性疾病鉴别.虽然其中极少数病人的腹部平片可见胆囊区钙化影(瓷样胆囊),口服和静脉胆囊造影显示固定的充盈缺损,胃肠钡餐有十二指肠球部受压征象,绝大多数胆囊癌在剖腹、活检或尸检时始获得诊断.术前确诊者一般报道占2～8.6%,最高也仅16%,且大多属于晚期,故其5年存活率仅为1～6%.但由于新的诊断技术不断问世和普及,本病目前的术前确诊率已显著提高.现将近年
Gallbladder carcinoma is the most common malignant lesion in the biliary system, ranking fifth in the digestive tract malignancy. Its clinical manifestations are lack of specificity, and it is often difficult to distinguish from benign gallbladder disease. Although only a small number of patients can see gallbladder calcification in the abdominal plain film. Imaging (cervical gallbladder), oral and venous cholecystography showed a fixed filling defect, gastrointestinal barium meal has duodenal compression signs, the vast majority of gallbladder cancer at the time of laparotomy, biopsy or autopsy began to be diagnosed. The diagnosed patients generally report 2 to 8.6%, the highest is only 16%, and most of them belong to the late stage, so the 5-year survival rate is only 1 to 6%. However, due to the continuous emergence and spread of new diagnostic techniques, the current treatment of the disease The pre-definition rate has increased significantly.