原发性肝内胆管囊性肿瘤  

Primary cystic tumors of bile intrahepatic duct

作　　者：吴伟岗[1] 陈红[1] 张长青[1] 郭介基[1] 

机构地区：[1]福建省泉州市第一医院外科

出　　处：《中国普通外科杂志》1997年第1期6-8,共3页China Journal of General Surgery

摘　　要：原发性肝内胆管囊性肿瘤（ＰＣＴＩＨＢＤ）比较罕见可分为囊腺瘤和囊腺癌。它们分泌大量的粘液形成单房和多房性囊肿，囊内壁发出乳头状赘生物突入囊腔，囊腺癌通常被认为由囊腺瘤恶变而来。文章报告ＰＣＴＩＨＢＤ５例，其中囊腺癌４例，囊腺瘤１例。５例经Ｂ超和ＣＴ检查后均诊断为肝癌，只是在剖腹探查和病理学检查后才获得正确的诊断，手术切除为唯一有效的治疗。４例囊腺癌中１例术后第６天死于大出血，１例随访７个月后死于肝内复发；另２例分别随访４年及５年均存活。１例囊腺瘤手术７年仍健在。Primary cystic tumors of intrahepatic bile duct (PCTIHBD) are rare, and can be divided into cystadenoma and cystadenocarcinoma. These tumors can produce large amount of mucus forming monolocular or multilocular cysts with papillary projections protruding from inner wall. Cystadenocarcinoma is generally believed to arise from cystadenoma. This paper reports 5 case of PCTIHBD (4 cases of cystadenocarcinoma and 1 case of cystadenoma). All cases were diagnosed as liver cancers by ultrasonography and CT. Correct diagnoses were only made after surgical laparotomy and pathological examination. Surgical excision is the only effective treatment. Of 4 cases of cystadenocarcinoma, 1 died from massive bleeding 6 days after operation, 1 died of recurrence 7 months postoperatively, the other 2 were followed up for 4 and 5 years respectively and are living and well. The patient with cystadenoma has been well for 7 years since operation.

关 键 词：肝内 胆管肿瘤 原发性 囊性肿瘤 

分 类 号：R735.8[医药卫生—肿瘤]