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本文对13例胆囊微腺瘤进行临床资料分析及病理学研究。结果表明,胆囊微腺瘤患者的平均年龄是38.38±8.99岁。其中3例微腺瘤有癌变,6例伴上皮不典型增生。病理组织学形态同胆囊腺瘤,以管状腺瘤为主。我们认为胆囊微腺瘤具有潜在恶变可能,属癌前病变。值得注意的是微腺瘤癌变不仅瘤体直径≤5mm,而且患者年龄也较胆囊腺瘤、腺癌年龄为小。作者讨论了胆囊微腺瘤的命名、癌变问题及临床病理特征。建议胆囊微腺瘤以尽早手术为宜。
In this paper, clinical data analysis and pathological study of 13 cases of gallbladder microadenomas were performed. The results showed that the average age of gallbladder microadenomas was 38.38±8.99 years. Among them, 3 cases had cancerous changes and 6 cases had epithelial dysplasia. Histopathological morphology with gallbladder adenomas, tubular adenomas. We believe that gallbladder microadenomas are potentially malignant and are precancerous lesions. It is worth noting that the cancerous lesions of microadenomas have not only a tumor diameter less than or equal to 5 mm, but also have a smaller age than gallbladder adenomas and adenocarcinomas. The author discussed the nomenclature, canceration and clinical pathological features of gallbladder microadenomas. It is recommended that gallbladder microadenomas be suitable for early surgery.