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由于胆囊的解剖特点,胆囊癌容易浸润周围脏器并转移,预后不良。一旦出现症状,多属晚期,切除率低,5年生存率仅2—3.2%。术后平均生存期为8.5月,多数半年内死亡。然而早期胆囊癌(粘膜内癌和固有肌层癌)根治切除术后。5年生存率为100%。早期胆囊癌无症状,手术前能正确诊断者仅10—20%,所以探讨早期正确的诊断方法,实属必要。九州大学医学部第一外科。近11年间(1980—1990年)经手术病理证实的胆囊癌54例,术前经US、EUS、ERCP、CT、AG等影像学检查,并配合肿瘤标记
Due to the anatomical features of the gallbladder, gallbladder cancer is easy to infiltrate the surrounding organs and metastasis, and the prognosis is poor. Once symptoms occur, many are in advanced stages and the resection rate is low. The 5-year survival rate is only 2-3.2%. The average survival time was 8.5 months, and it died in the majority of six months. However, early gallbladder cancer (intramucosal cancer and muscularis propria cancer) after radical resection. The 5-year survival rate is 100%. Early gallbladder cancer is asymptomatic, and only 10-20% can be correctly diagnosed before surgery. Therefore, it is necessary to explore early and correct diagnosis methods. First Department of Medicine, Kyushu University. In the past 11 years (1980-1990), 54 cases of gallbladder carcinoma confirmed by operation and pathology were preoperatively imaged by US, EUS, ERCP, CT, and AG, together with tumor markers.