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对23例手术并经病理证实为胆囊癌的病例进行回顾性分析。23例患者,男性8例,女性15例,平均年龄64.7±8.6(岁),21例伴有胆囊结石或/和胆管结石,占91.30%,平均胆石症病程6.9年,临床术前诊断符合率34.78%(8/23),肿瘤切除率43.48%(10/23),组织学类型22例为腺癌,1例为未分化癌。认为胆囊癌多与胆石症并发存在,常发生于病史长,年龄较大的胆石症患者,故对长期病程的高龄胆石症病人要警惕癌变的可能,对这些高危人群宜尽早手术。
A retrospective analysis was performed on 23 cases of gallbladder carcinoma confirmed by pathology. 23 patients, 8 males and 15 females, mean age 64.7±8.6 (years), 21 patients with gallstones and/or bile duct stones, accounting for 91.30%, average cholelithiasis course 6.9 In 2011, the preoperative diagnosis rate was 34.78% (8/23), the tumor resection rate was 43.48% (10/23), the histological type was 22 cases of adenocarcinoma, and 1 case was undifferentiated carcinoma. It is believed that gallbladder cancer is often associated with cholelithiasis. It often occurs in patients with long-standing disease and older patients with cholelithiasis. Therefore, elderly patients with cholelithiasis who have a long-term course of disease should be alert to the possibility of canceration, and these high-risk groups should be treated as soon as possible.