原发性胆囊癌1898例病理类型的分析  

ANALYSIS OF THE 1898 HISTOLOGIC TYPE OF PRIMARY CARCINOMA

作　　者：韩玥[1] 赵波[2] 石景森[1] 李国才[1] 杨毅军[1] 焦兴元[1] 

机构地区：[1]西安医科大学第一附属医院肝胆外科研究室,710061 [2]上海市宝山中心医院外一科,201900

出　　处：《中国现代医学杂志》2000年第10期17-18,共2页China Journal of Modern Medicine

摘　　要：目的 :探讨胆囊癌的病理类型及特点。方法 :对 1898例经病理证实的胆囊癌临床病理资料进行了分析。结果 :1898例胆囊癌中腺癌占 92 .9% ,其中有NOS(Nototherwisespecified)腺癌、乳头状腺癌、粘液腺癌、未分化腺癌、管状腺癌、印戒细胞癌等类型 ,鳞癌及腺鳞癌占 4.9% ,腺瘤恶变占 1.7%。此外尚发现炎症恶变 3例 ,息肉恶变 4例 ,类癌及恶性淋巴瘤各 1例。结论 :原发性胆囊癌中腺癌最多 ,侵袭能力强 ,预后差。其组织学类型比癌细胞分化程度更能决定其预后。Objectives: Inquire into histologic type and character of the primary gallbladder carcinoma (PGC). Methods: To analyze 1898 clinical data of the PGC that had been confirmed by pathology. Results: 92.9% of all PGC were recorded as adenocarcinoma. Adenocarcinoma included NOS (not otherwise specified) adenocarcinoma, papillary adenocarcinoma, mucinous adenocarcinoma, non-differentiation adenocarcinoma, signet ring cell carcinoma, tubular adenocarcinoma. Squamous cell carcinoma and adenosquamous carcinoma represent 4.9%. Adenocarcinoma that was associated with adenmas was 1.7%. In addition, there were data on 3 inflammation canceration, 4 polyp cancerations, 1 carcinoid tumor, 1 maligant lymphoma. Conclusions: Adenocarcinoma was most frequently reported histologic type in PGC. Histologic type of PGC was more influence on survival than histologic grade.

关 键 词：胆囊癌 病理类型 预后 

分 类 号：R735.802[医药卫生—肿瘤]