原发性胆囊癌是胆道系统最常见的恶性肿瘤,占消化道肿瘤的第5位。90%以上胆囊癌发生于50岁以上,妇女发病率是男性的4~5倍〔1〕。临床上胆囊癌早期缺乏特异的症状和体征,其表现往往与胆囊炎和胆石症相类似。本文收集原发性胆囊癌24例,对其临床病理特点分析如下。 Primary gallbladder cancer is the most common malignant tumor of the biliary tract, accounting for 5 of the gastrointestinal tumors. More than 90% of gallbladder cancer occurs in patients over 50 years old, the incidence of women is 4 to 5 times that of men 〔1〕. Early clinical lack of specific symptoms and signs of gallbladder cancer, its performance is often similar to cholecystitis and cholelithiasis. This collection of 24 cases of primary gallbladder cancer, its clinical and pathological features are as follows.