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患有胆囊结石的病人,应警惕胆囊癌的发生。据报道,胆囊结石并发胆囊癌约为0.5%～1%,且随着年龄增长,胆囊癌发病率会增高。胆囊结石大于1cm者引起癌变的机会也会增多,一般认为,胆囊结石直径3cm者比直径小于1cm者引起胆囊癌的危险性增大10倍。约40%-80%的胆囊癌伴有胆结石,一般认为胆囊癌与长期患胆囊结石有关,多数的胆囊结石发生在胆囊癌之前。近年来,随着医学科技的发展,特别是B超的普及应用,胆囊隆起性病变,包括胆囊息肉、胆囊胆固醇性息肉、胆囊腺癌、胆囊肌腺病以及早期胆囊癌的发现有所增加。在我国经手术切除的胆囊息肉病变中,早期癌约占10%,应引起足够重视。
Patients with gallstones should be alert to the occurrence of gallbladder cancer. According to reports, gallbladder gallstones complicated by gallbladder cancer is about 0.5% to 1%, and the incidence of gallbladder cancer will increase with age. Gallstones larger than 1cm will increase the chance of canceration. It is generally believed that the risk of gallbladder cancer is increased by 10 times when the diameter of gallstones is less than 1cm. About 40%-80% of gallbladder cancers are associated with gallstones. It is generally believed that gallbladder cancer is associated with long-term gallstones. Most gallstones occur before gallbladder cancer. In recent years, with the development of medical science and technology, especially the popularization and application of B-ultrasound, gallbladder bulging lesions, including gallbladder polyps, gallbladder cholesterol polyps, gallbladder adenocarcinoma, gallbladder muscular adenopathy, and early gallbladder cancer have increased. In China, surgically resected gallbladder polyps lesions, early cancer accounts for about 10%, should pay enough attention.