论文部分内容阅读
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。
Objective: To explore the pathological types and characteristics of gallbladder carcinoma. Methods: The clinicopathological data of 1898 cases of gallbladder carcinoma confirmed by pathology were analyzed. RESULTS: Adenocarcinomas accounted for 92.9% of 1898 cases of gallbladder carcinoma, including NOS (Nototherwisespecified) adenocarcinoma, papillary adenocarcinoma, mucinous adenocarcinoma, undifferentiated adenocarcinoma, tubular adenocarcinoma, signet-ring cell carcinoma, and other types. Cancer and adenosquamous carcinoma accounted for 4.9%, and adenomas accounted for 1.7%. In addition, 3 cases of malignant inflammation, 4 cases of malignant polyps, 1 case of carcinoid and 1 case of malignant lymphoma were found. Conclusion : The majority of adenocarcinomas in primary gallbladder carcinoma have strong invasive ability and poor prognosis. Its histological type is more likely to determine its prognosis than cancer cell differentiation.