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原发性胆囊癌是胆道系统最常见的肿瘤。此癌无特殊症状和体征,术前难以确诊,常在胆囊炎、胆结石或其它手术时发现,一旦发现多属晚期,预后极差。本文目的是分析原发性胆囊癌的临床病理特点,发病原因,和预后有关的一些因素,探讨改善预后延长生存时间等问题。材料和方法收集本院1975——1985年间有病理诊断资料的原发性胆囊癌18例。查阅原始临床资料,手术和病理记录,复查组织切片。参照Edmondson 的胆囊癌组织分类,根据 Nevin等人的临床病理分期和组织分级法,将临床病理分为五期:Ⅰ期,肿瘤限于粘膜层;Ⅱ
Primary gallbladder carcinoma is the most common tumor of the biliary system. This cancer has no special symptoms or signs and is difficult to diagnose before surgery. It is often found in cholecystitis, gallstones, or other operations. Once multiple stages are found, the prognosis is extremely poor. The purpose of this article is to analyze the clinicopathological features, causes of etiology, and some factors related to prognosis of primary gallbladder carcinoma, and to explore issues such as improving prognosis and prolonging survival time. Materials and Methods 18 cases of primary gallbladder carcinoma with pathological diagnosis data from 1975 to 1985 were collected. Check the original clinical data, surgical and pathological records, and review the tissue sections. Referring to Edmondson’s classification of gallbladder cancer tissues, clinical pathology was divided into five phases according to Nevin et al.’s clinical pathological staging and histological grading: Phase I, tumors confined to the mucosal layer; II