论文部分内容阅读
目的 探讨原发性肝内胆管囊腺癌的诊断及外科处理.方法 回顾1982年1日至1998年底收治的5例原发性肝内胆管囊腺癌诊治经验并结合文献贸料加以讨论.结果 5例中2例行根治性手术切除,分别存活了4.5年和3年,另3例肿块不能根治性切除,2例存活8目和20个月,1例已治疗5月,仍在治疗中.结论 原发性肝内胆管腺癌诊断主要依靠影像学和经皮肝穿刺活检,最佳的治疗方法是肿块的根治性切除.如果肿块能完整切除,预后较好.
Objective To explore the diagnosis and surgical management of primary intrahepatic biliary cystadenocarcinoma. Methods Retrospectively review the experience of diagnosis and treatment of 5 cases of primary intrahepatic bile duct cystadenocarcinoma treated from 1st to the end of 1998 and discuss with the literature. 2 out of 5 patients underwent radical surgical resection and survived for 4.5 years and 3 years respectively. The other 3 tumors could not be radically resected. 2 patients survived 8 or 20 months. 1 patient had been treated for 5 months and was still under treatment. Conclusions The diagnosis of primary intrahepatic biliary adenocarcinoma mainly depends on imaging and percutaneous biopsy. The best treatment is the radical resection of the tumor. If the tumor can be completely removed, the prognosis is better.