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原发性胆囊癌并非罕见,诊断困难,预后恶劣。我科自1986年1月～1995年12月,共遇到原发性胆囊癌35例,误诊29例,误诊率高达82.8％。现就其误诊原因分析如下: 1 临床资料 本组误诊29例中,男性11例,女性18例。年龄40～69岁,平均年龄56岁。 1.1 临床表现:病程最短者2个月,最长者31年(胆囊结石症状)。主要症状:有上腹隐痛或胀痛者21例,腹痛向肩背放射者18例。上腹部扪及肿块者12例,伴有不同程度黄疸者14例。
Primary gallbladder cancer is not uncommon. Diagnosis is difficult and the prognosis is poor. In our department from January 1986 to December 1995, 35 cases of primary gallbladder cancer were encountered and 29 cases were misdiagnosed. The rate of misdiagnosis was as high as 82.8%. The reasons for misdiagnosis are as follows: 1 Clinical data In this group, 29 cases were misdiagnosed, including 11 males and 18 females. Age 40 to 69 years old, average age 56 years old. 1.1 Clinical manifestations: The shortest course was 2 months, and the longest was 31 years (the symptoms of gallbladder stones). The main symptoms: There were 21 cases with epigastric pain or pain, and 18 cases with abdominal pain radiating to the shoulders. There were 12 cases of epigastric hemorrhoids and masses, and 14 cases with different degrees of jaundice.