摘要
目的探讨肝外胆管类癌的临床特征和临床诊治。方法报告2例胆总管类癌并结合文献报道30例;对32例肝外胆管类癌进行分析。结果肝外胆管类癌临床少见,32例中女性23例,男性9例,发病年龄平均为49岁(19～79)岁。临床表现梗阻黄疸最为常见,占55%。肿瘤局限于胆管内为71%,诊断时己有远处转移的为29%,其肿瘤局限于胆管内病例3年存活率为100%。结论肝外胆管类癌与胆管腺癌不同,其发病年龄年轻(平均为49岁),并好发于女性。肿瘤的局部浸润为主,很少发生远处转移,根治切除后可获长期生存,对胆管类癌应行积极的根治切除。
Objective To investigate the features of carcinoid tumors in the extrahepatic bile duct. Methods Two cases of carcinoid tumors in the extrahepatic bile duct treated in our hospital and 30 reported in literature were reviewed. Results Carcinoid tumors of the bile duct were rare. Of the 32 patients with an average age of 49 （19-79）, 9 were male and 23 female. Obstructive jaundice was the most common compliant and it accounted for 55% in this group, Upon diagnosis, the tumors were located in the bile duct in 71% and distant metastasis found in 29% of all the patients. The survival rate of patients with the tumors in the bile duct alone was as high as 100%. Conclusion Carcinoid tumors in the bile duct are different from cholangiocarcinoma in that they occur more commonly in pea ple at a younger age and in females. They are confined to the bile duct and their distal metastasis is rare. Radical resection can result in long-term survival and thus can be used for treatment of the disease.
出处
《中华肝胆外科杂志》
CAS
CSCD
2007年第11期747-749,共3页
Chinese Journal of Hepatobiliary Surgery
关键词
肝外胆管
类癌
外科
Extrahepatic bile duct
Carcinoid tumor
Surgery
