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胆囊息肉样病变是胆囊粘膜局限性隆起性病变的统称，近年来随着原发性胆囊癌的发病率明显上升，特别是近１０年，息肉样病变越来越受到人们的重视。本文选择我院１９９２－１９９４年，三年间手术切除胆囊，从中筛选出息肉样病变共６０例，其中非肿瘤性病变（包括胆固醇性息肉２４例，炎性息肉２例，腺肌增生病１６例）４２例。肿瘤性病变（胆囊腺瘤５例，胆囊癌１３例）１８例。进行病理形态观察，发现非肿瘤性病变占息肉样病变的７０％（４２／６０）。肿瘤性病变占３０％（１８／６０）。其中胆囊瘤占胆囊息肉样病变的２１．６％（１３／６０）。部分腺肌增生症和胆囊腺瘤，上皮细胞有不同程度不典型增生，当明显不典型增生时，应警惕恶变的可能，故从病理变化中也支持这两种病应视为癌前病变。
Gallbladder polypoid lesions are collectively referred to as gallbladder mucosa-restricted bulge lesions. In recent years, the incidence of primary gallbladder cancer has increased significantly. Especially in the past 10 years, polypoid lesions have attracted more and more attention. This article selected our hospital from 1992 to 1994, three years of gallbladder surgery, from which to select out 60 cases of polypoid lesions, including non-tumor lesions (including 24 cases of cholesterol polyps, 2 cases of inflammatory polyps, 16 cases of adenomyosis) 42 cases. Neoplastic lesions (5 gallbladder adenomas and 13 gallbladder carcinomas) were performed in 18 patients. Pathological observations revealed that non-neoplastic lesions accounted for 70% (42/60) of polypoid lesions. Tumor lesions account for 30% (18/60). Gallbladder tumors accounted for 21.6% (13/60) of polypoid lesions of the gallbladder. Some adenomyosis and gallbladder adenoma, epithelial cells have varying degrees of atypical hyperplasia, when the obvious atypical hyperplasia, they should be alert to the possibility of malignant transformation, it is also supported from the pathological changes in these two diseases should be considered as precancerous lesions.