胆囊微腺瘤  

MICROADENOMA OF THE GALLBLADDER

作　　者：石群立[1] 金行藻[1] 严晓娟[1] 孙桂勤[1] 陈海玲[1] 

机构地区：[1]南京军区总医院病理科,210002

出　　处：《中国普通外科杂志》1996年第2期73-76,共4页China Journal of General Surgery

摘　　要：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, 13 specimens of microadenoma of the gallbladder were studied by clinical and pathologic data. The results showed that the average age of patients with microadenoma was 38.38 + 8.99 years. Three of the microadenomas had malignant change and six had atypical hy-perplasia. Histopathologic features of microadenoma was similar to the adenoma of gallbladder. Tubular microadenoma of the gallbladder occurred predominantly. The findings are regarded as having potential malignancy and precancerous lesions in microadenoma. Notably, microadenomas with malignant change was not only less than 5mm in diameter, but also the average age of patient with microadenomas was less than that of patient with adenomas or carcinoma. The homen-clature, probablity of malignant change, clinical and pathological feature of microadenomas are discussed in this paper. It is suggested that microadenoma of the gallbladder should be removed surgically as early as possible.

关 键 词：微腺瘤 上皮不典型增生 临床病理特征 胆囊腺瘤 病理学研究 组织学形态 临床资料 平均年龄 管状腺瘤 癌前病变 瘤体直径 腺瘤癌变 患者年龄 分析及 

分 类 号：R736.404[医药卫生—肿瘤] R711.740.5[医药卫生—临床医学]