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作者于6年间研究了3197例切除的胆囊标本,其中279例标本有腺肌病,发生率为8.7%(其它报道为0.8～33.3%)。胆囊腺肌病的病变特征是:胆囊壁增厚,壁内有增生、扩张的胆囊粘膜窦,窦的周围有增生而排列混杂的纤维肌肉组织。根据标本的肉眼所见特征,作者把腺肌病分成三种类型:(1)节段型—在增厚的胆囊中段常出现一个环状狭缩,以致胆囊形似葫芦,从而把胆囊腔分隔成互相连通的两个小腔(即狭缩远端的基底腔和狭缩近端的颈腔);(2)基底型—在胆囊顶端的粘膜上有一半球状隆起,其中央有一酒窝状小凹;(3)弥散型—整个胆囊壁呈弥漫性增厚。本文分析的279例腺肌病中,男性居多,有154例,平均年龄为55.8岁。其中,节段型188例(67%),基底型82例(30%),弥散型9例(3%)。人们一直认为腺肌病与胆囊癌共存的情况极为少见,仅有少数报道,故认为是偶发现象。而且文献上
The authors studied 3197 cases of gallbladder specimens that were resected in 6 years, of which 279 specimens had adenomyosis and the incidence was 8.7% (other reports were 0.8-33.3%). The pathological features of gallbladder adenomyosis are: thickened gallbladder wall, hyperplastic and dilated gallbladder mucosal sinus in the wall, hyperplasia around the sinus, and mixed fiber and muscle tissue. According to the characteristics of the specimen’s naked eye, the authors divided the adenomyosis into three types: (1) Segmental—a ring-shaped contraction often occurs in the thickened part of the gallbladder so that the gallbladder resembles a gourd, dividing the gallbladder lumen into Two small cavities that communicate with each other (that is, the distal base stenosis and the neck stenosis); (2) The basal type—half bulbous bulges on the mucosa of the top of the gallbladder and a dimple in the center of the gallbladder. (3) Dispersion type - diffuse and thickening of the gallbladder wall. Of the 279 cases of adenomyosis analyzed in this study, the majority were males, with 154 cases, with an average age of 55.8 years. Of these, 188 (67%) were segmental, 82 (30%) were basal, and 9 (3%) were diffuse. It has been considered that the coexistence of adenomyosis and gallbladder cancer is extremely rare and only a few reports have been reported. And literature