原发性胆囊癌的发病率在消化道肿瘤中居第 5位。由于本病常与良性肝胆疾患相似 ,且缺乏特异的检查方法 ,早期诊断困难 ,5年生存率不到 5 % [1] 。华西医大附一院 1988年 1月至1994年 9月共收治经手术病理证实的原发性胆囊癌 62例 ,其中入院前和术前误诊 41例 ( 66% ) ,现就此 4 The incidence of primary gallbladder cancer ranks fifth in digestive tract tumors. Because this disease is often similar to benign liver and gallbladder disease, and lack of specific examination methods, early diagnosis is difficult, and the 5-year survival rate is less than 5% [1]. From January 1988 to September 1994, a total of 62 cases of primary gallbladder carcinoma confirmed by surgery and pathology were diagnosed. Among them, 41 cases (66%) were misdiagnosed before admission and before surgery.