乳头型肝门胆管癌的治疗及预后分析  

Analysis of surgical treatment and prognosis for papillary cholangiocarcinoma

作　　者：张隽[1] 乔岐禄[1] 赵建勋[1] 张宝善[1] 

机构地区：[1]北京大学第一医院普通外科,北京100034

出　　处：《中国现代医学杂志》2013年第34期57-59,共3页China Journal of Modern Medicine

摘　　要：目的了解乳头型肝门胆管癌的临床特点和预后情况。方法回顾分析该院1983~2010年收治的205例肝门胆管癌患者中乳头型癌病理学特点,治疗方式,预后情况,并与其他病理类型的肿瘤进行比较。结果该组152例接受了肝门胆管癌切除术,其中乳头型36例;乳头型癌患者组织学分级为高分化者明显高于其他类型,淋巴结转移率明显低于其他类型,而AJCC分期〈ⅡA者也明显多于其他类型,但是R0切除率及肝切除率二者之间差异并无显著性;乳头型肿瘤切除术后中位生存期明显长于其他类型肿瘤。结论肝门胆管癌的组织病理类型中乳头型是影响患者预后的重要指标。[ Objective ] To understand the clinical characteristics and prognosis of the papillary phenotype hilar cholangiocarcinoma. [ Methods ] Histopathologic, surgical and prognostic data of papillary phenotype hilar cholangio- carcinoma in 205 cases from 1983 to 2010 were retrospectively analyzed and compared with other phenotype tumors. [Results] 152 cases underwent a gross resection. 36 resected tumors contained a papillary component. Patients with papillary and other phenotype tumors had similar proportion of liver resections and R0 resections. By contrast, papil- lary tumors were significantly more often well-differentiated, lower lymph-node metastasis and earlier stage. Survival after resection of papillary tumors was greater than after resection of other type lesions. [ Conclusion ] The presence of a component of papillary carcinoma is an important index of survival after resection of hilar cholangiocareinoma.

关 键 词：肝门胆管癌 乳头型 

分 类 号：R735.7[医药卫生—肿瘤]