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肝外胆管癌国内报告较少。其占胆道手术总数的3.46％。本文报告近5年来的8例(武医一院5例,中山三院3例)均经病理确诊。 临床资料 男3例,女5例,年龄34～79岁,平均53.9岁。症状出现至就诊时间1～6月,平均3.1月。临床主要表现:右上腹痛7例,阻塞性黄疸6例,右上膜包块5例,肝大助下4cm以上4例。术前诊断除1例确诊外,其余7例误诊胆石症、胰头癌各3例,胃窦癌1例。术中见胆囊增大5例,缩小3例,1例有泥沙样结石。上段癌3例,中段癌4例,下段癌1例。浸润肝门3例,侵犯十二指肠、胰腺各1例,腹内广泛转移3例.病理分型:腺癌5例,鳞癌+透明
There are few domestic reports of extrahepatic bile duct cancer. It accounts for 3.46% of the total number of biliary operations. This article reports 8 cases in the past 5 years (5 cases in Wuyi First Hospital and 3 cases in Zhongshan Third Hospital). Clinical data Male 3 cases, female 5 cases, aged 34 to 79 years old, average 53.9 years old. Symptoms lasted from January to June, with an average of 3.1 months. The main clinical manifestations were: 7 cases of right upper abdominal pain, 6 cases of obstructive jaundice, 5 cases of right upper-membrane mass, and 4 cases of 4 cm above liver assist. In addition to 1 case diagnosed before surgery, the remaining 7 cases were misdiagnosed as cholelithiasis, 3 cases of pancreatic cancer, and 1 case of gastric antrum cancer. During the operation, gallbladder enlargement was seen in 5 cases, and in 3 cases, there was a case of silt-like stones in 1 case. There were 3 cases of upper carcinoma, 4 cases of middle carcinoma, and 1 case of lower carcinoma. Infiltration of hepatic portal in 3 cases, invasion of the duodenum, 1 case of pancreas, intra-abdominal metastasis in 3 cases. Pathological type: adenocarcinoma in 5 cases, squamous cell carcinoma + transparent