胆囊腺肌瘤肯定是癌前期病变,但常见的腺肌瘤一般被认为无癌变的危险。作者报道一例胆囊癌同时伴有腺肌瘤病灶。病人系男性,52岁,因疑有胆囊癌住院诊治。曾疑有胆囊腺肌瘤病于1988年6月施行胆囊切除术。术中见胆囊壁增厚,底部可扪及肿块。冰冻切片未见癌肿,作胆囊切除,但石腊切片病理检查见胆囊底部硬结区粘膜复盖柱状上皮,并分布有粘液样细胞化生区,其深层有数个腺体突起,其周围有局限性腺肌瘤病的典型肌束增生,并邻接胶样腺癌细胞。见肿瘤由扩充的导管和充满粘液的囊肿所组成,在管 Gallbladder adenomyoma is certainly a precancerous lesion, but common adenomas are generally considered to be non-cancerous. The authors reported one case of gallbladder carcinoma with adenoma. The patient is a 52-year-old male with suspected gallbladder cancer hospitalization. Suspected gallbladder adenomyomasis was performed in June 1988 with cholecystectomy. During the operation, the gallbladder wall was thickened, and the bottom was palpable and lumps. There was no cancerous swelling in the frozen section, but cholecystectomy was performed. However, the pathological examination of the paraffin section showed that the mucosa of the indurated area at the bottom of the gallbladder covered the columnar epithelium, and there was a mucinous cellized area. There were several gland protrusions in the deep layer, and there were limitations around it. Typical fascicular hyperplasia of adenomyosis, adjacent to colloidal adenocarcinoma cells. See tumor consists of enlarged ducts and mucous filled cysts, in the tube