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原发性胆囊癌少见,常因缺乏特异性临床表现而延误诊治,手术切除率低,预后差。本文总结报告我院自1987年以来收治的、经病理证实的原发性胆囊癌9例,并结合国内外文献进行讨论。1 临床资料本组病人9例,男2例、女7例。年龄37～73岁,平均57.7岁。病史10天～5年,多为1～3个月。主要症状为:右上腹疼痛不适(6例),食欲减退、体重下降(3例)和右上腹肿块(3例)。出现黄疸者2例,其中1例为合并胰头粘液腺癌所致,另1例为肿瘤侵及胆总管并有胆囊结石。主要体征
Primary gallbladder cancer is rare, often due to lack of specific clinical manifestations and delayed diagnosis and treatment. The surgical resection rate is low and the prognosis is poor. This article summarizes and reports 9 cases of pathologically confirmed primary gallbladder carcinoma admitted in our hospital since 1987, and discuss it with domestic and foreign literature. 1 clinical data in this group of 9 patients, 2 males and 7 females. Age 37-73 years old, average 57.7 years old. The history is 10 days to 5 years, mostly 1 to 3 months. The main symptoms were: pain in the right upper quadrant (6 cases), loss of appetite, weight loss (3 cases), and mass in the right upper quadrant (3 cases). There were 2 cases of jaundice, one of which was caused by the merger of pancreatic head mucinous adenocarcinoma, and the other was tumor invasion of the common bile duct and gallstones. Main signs