頁籤選單縮合
題名 | 原發性膽囊癌 |
---|---|
作者姓名(中文) | 李金德; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 16:3 1983.09[民72.09] |
頁次 | 頁256-262 |
分類號 | 416.247 |
關鍵詞 | 原發性膽囊癌; |
語文 | 中文(Chinese) |
中文摘要 | 高雄醫學院外科最近10年內經驗了10位胆囊癌的病例,其年齡由29至80歲,60歲以上者佔60%,男性五位,女性五位,比例為1:1。佔同期間總住院病例之0.012%,胆道外科手術之1.7%。他 們的臨床症狀都類似胆石症之胆道系統炎症,以腹痛最多,其次為發燒、畏寒或黃疸;術前診斷率為30%,診斷方法以ERCP成績最好,診斷率為66.6%,其次為PTC及腹部超音波。胆囊癌合併胆囊結石率為57.1%,而胆囊結石例併發胆囊癌發生率為3.57%。所有病例之組織學形態為腺癌;50%病例有淋巴節轉移,25%病例有肝浸潤,十二指腸及大網膜侵犯各有12.5%。手術死亡例有2,術後生存3個月至1年才有4,活過五年者有2例,另2例剛開過刀出院,目前仍在追踪觀察中。 |
英文摘要 | Ten cases of gallbladder carcinoma were experienced in recent decade. Five patients were male and also 5 were female, and the age ranged from 29 to 80 with three fifths were older than 60 years. It represented a rate of 0.012% of all admissions and 1.7% of all biliary operations during the same period. They presented with clinical features similar to that of cholelithiasis or inflammatory disease of biliary tract and was not specific; abdominal pain most often occurred and followed by fever, chillness or jaundice. Preoperative accurate diagnostic rate was 30%. The diagnostic methods were ERCP, PTC, Ultrasonography, and intravenous cholangiography, in which ERCP carried the most accurate diagnostic rate in this series. Microscopically it was adenocarcinoma in all cases and lymph node metastasis was present in 50% of cases, liver infutration 25%, duodenal and omental involvement each 12.5%. Coexistence of gallbladder stone in gallbladder carcinoma was presented in 57.1% of cases, while only 3.57% was confirmed to have gallbladder carcinoma in all cases of gallbladder stone. Two cases whose carcinoma was limited to the mucosa layer have survived more than 5 years and were still alive. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。