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本文报道一较典型华支睾吸虫痛所致原发性肝胆管癌病例。患者经B超、肝扫描、CT均显示“肝内占位性病变”,行选择性肝动脉造影证实“肝右叶肿瘤”。外科作肝肿瘤切除并送病理检查,确诊肝华支睾吸虫感染伴发肝胆管上皮腺瘤样增生,肝胆管上皮癌变及胆管腺癌。对华支睾吸虫病所致原发性肝胆管癌的病理变化过程,作了较详细的描述,同时对其发病机理进行了讨论。鉴于原发性肝胆管癌目前治疗尚有一定困难,病死率极高,作者认为积极防治华支睾吸虫病,将对流行区内原发性肝胆管癌发病率的下降及对原发性肝胆管癌的防治会具有极为重要的意义。
This article reports a case of primary hepatobiliary cancer caused by a typical case of clonorchiasis. Patients with B-mode ultrasound, liver scan, and CT showed “intrahepatic space-occupying lesions,” and selective hepatic artery angiography confirmed “right liver lobe tumor.” Surgery for liver tumor resection and sent for pathological examination, diagnosis of liver schistosomiasis infection associated with hepatobiliary epithelial adenomatous hyperplasia, hepatobiliary epithelial cancerous and bile duct adenocarcinoma. The pathological process of primary hepatobiliary carcinoma caused by schistosomiasis was described in detail, and its pathogenesis was discussed. In view of the current difficulties in the treatment of primary hepatobiliary cancer, the mortality rate is extremely high. The author believes that active prevention and treatment of schistosomiasis will reduce the incidence of primary hepatobiliary cancer in the epidemic region and the primary hepatobiliary. Cancer prevention and control will have extremely important significance.