肝细胞癌合并胆管癌栓的诊断与治疗  

Diagnosis and management of hepatocellular carcinoma with biliary tumor thrombi

作　　者：殷晓煜[1] 

机构地区：[1]中山大学附属第一医院胆胰外科,广东广州510080

出　　处：《中国实用外科杂志》2016年第6期618-620,共3页Chinese Journal of Practical Surgery

摘　　要：肝细胞癌(简称肝癌)合并胆管癌栓不常见。胆管癌栓通常是由肝癌侵入其所在部位的肝内胆管而形成并沿肝内胆管向肝门部胆管甚至胆总管生长,最终导致梗阻性黄疸或合并胆道出血。肝癌合并胆管癌栓并不是一种终末期疾病,有时会被误诊为胆管癌,及时正确诊断至关重要。积极手术切除治疗有助于延长生存时间、改善远期预后。Hepatocellular carcinoma（HCC） with biliary tumor thrombi is not common.Biliary tumor thrombi usually arise from the intrahepatic bile duct which is invaded by HCC,and gradually extend towards the hilar bile ducts,and even common bile duct.It eventually leads to obstructive jaundice,and hemobilia occasionally.HCC with biliary tumor thrombi sometimes can be misdiagnosed as cholangiocarcinoma.Correct diagnosis is important.Aggressive surgical resection is helpful to prolong the patient＇ s survival time,and improve the long-term outcome.

关 键 词：肝细胞癌 胆管癌栓 手术切除 术前减黄 

分 类 号：R6[医药卫生—外科学]