胆囊鳞癌、腺鳞癌的诊断和治疗(附33例病例分析和78例文献复习)  

Squamous cell carcinoma and adenosquamous Carcinoma of gallbladder diagnosis and treatment of 33 cases and 78 cases from literature

作　　者：刘凯[1] 段纪成[1] 常颜信[1] 范明明[1] 杨家和[1] 

机构地区：[1]第二军医大学附属东方肝胆外科医院,上海200438

出　　处：《肝胆外科杂志》2016年第3期172-175,共4页Journal of Hepatobiliary Surgery

基　　金：国家自然科学基金项目(批准号81402428)

摘　　要：目的总结胆囊鳞癌、腺鳞癌的诊治经验。方法回顾性分析东方肝胆外科医院2007—2014年间收治的14例胆囊鳞癌、19例胆囊腺鳞癌，并对国内20例胆囊鳞癌、58例胆囊腺鳞癌进行复习。结果随访到的24例中生存时间6个月以内的8例，其中围术期死亡2例；生存时间6个月到1年内的6例；1年到2年的6例，2年到3年的2例；超过4年的2例。随访到的有6例仍健在，术后至随访时间分别为12个月、12个月、18个月、31个月、51个月、54个月。结论对于胆囊鳞癌及腺鳞癌患者的治疗应与一般胆囊癌的治疗类似，即使出现周围脏器受侵，仍应力争行根治性手术治疗。Objective To summarize the experience of diagnosis and treatment of squamous cell carcinoma and adenosquamous Carcinoma of the gallbladder. Methods Retrospective analysis 14 cases of adenosquamous Carcinoma of gallbladder, 19 cases of adenosquamous Carcinoma of the gallbladder between 2007 - 2014 in Eastern Hepatobiliary surgery hospital, and review 20 domestic cases of adenosquamous Carcinoma of gallbladder and,58 cases of adenosquamous Carcinoma of the gallbladder. Results 24 cases are followedup. The survival time of 8 cases is no more than 6 months ; 6 months to 1 years 6 cases ; 1 years to 2 years 6 cases, 2 years to 3 years 2 cases; over 4 years 2 cases. 6 cases were still alive,and their follow-up period is 12 months, 12 months, 18 months, 31, 51 and 54 months. Conclusion For the treatment of patients with squamous cell carcinoma and adenosquamous Carcinoma of gallbladder should be similar to the treatment of Carcinoma of gallbladder, even with the adjacent organ involvement, should still strive for radical surgery.

关 键 词：胆囊鳞癌 胆囊腺鳞癌 诊断 治疗 

分 类 号：R735.8[医药卫生—肿瘤]