中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
20期
21-22
,共2页
胆囊癌%原发性%临床%病理
膽囊癌%原髮性%臨床%病理
담낭암%원발성%림상%병리
Gallbladder carcinoma%Primatry%Clinic%Pathology
目的 探讨原发性胆囊癌的临床病理特点.方法 收集2000年至2010年我科原发性胆囊癌74例.全部病例经10%中性福尔马林固定,石蜡包埋切片,常规HE染色.结果 病理组织学分型:高分化腺癌25例,占33.8%;中分化腺癌26例,占35.1%;低分化腺癌16例,占21.6%;鳞癌2例,占2.7%;黏液腺癌3例,占4.1%;印戒细胞癌2例,占2.7%.结论 本组胆囊癌病理类型以腺癌为主,临床特点为起病隐匿,易浸润周围组织及转移,术前诊断困难,一般预后较差.
目的 探討原髮性膽囊癌的臨床病理特點.方法 收集2000年至2010年我科原髮性膽囊癌74例.全部病例經10%中性福爾馬林固定,石蠟包埋切片,常規HE染色.結果 病理組織學分型:高分化腺癌25例,佔33.8%;中分化腺癌26例,佔35.1%;低分化腺癌16例,佔21.6%;鱗癌2例,佔2.7%;黏液腺癌3例,佔4.1%;印戒細胞癌2例,佔2.7%.結論 本組膽囊癌病理類型以腺癌為主,臨床特點為起病隱匿,易浸潤週圍組織及轉移,術前診斷睏難,一般預後較差.
목적 탐토원발성담낭암적림상병리특점.방법 수집2000년지2010년아과원발성담낭암74례.전부병례경10%중성복이마림고정,석사포매절편,상규HE염색.결과 병리조직학분형:고분화선암25례,점33.8%;중분화선암26례,점35.1%;저분화선암16례,점21.6%;린암2례,점2.7%;점액선암3례,점4.1%;인계세포암2례,점2.7%.결론 본조담낭암병리류형이선암위주,림상특점위기병은닉,역침윤주위조직급전이,술전진단곤난,일반예후교차.
Objective To investigate the pathological classification and clinical features of primary gallbladder carcinoma.Methods To collect 74 cases of primary gallbladder carcinomas in our hospital from 2000 to 2010.All cases were in 10% neutral formalin-fixed,paraffin-embedded sections,routine HE staining.Results According to the newest tumor classification,25 patients showed adenocarcinoma with well differentiated(33.8% ),26 cases showed adenocarcinoma of intermediated differentiation(35.1% ),and 16 cases showed adenocarcinoma with poor differentiation(21.6% ),2 patients revealed squamous cell carcinoma( accouting for 2.7% ),and 3 patients showed mucinous adeno carcinoma (4.1% ),signet-ring cell carcinoma in 2 cases (2.7%).Conclusions The results showed that adenocarcinoma was the most common pathological type in gallbladder carcinoma,it always showed with high ability of infiltration and tendency of metastasis,it is difficult to diagnose before operating,the prognosis is very poor.