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本文报道瑞典某三个医院于1952～1973年间手术或尸检确诊的76例原发性肝外胆管癌。性别和年龄:年龄范围为24～87岁(女35例,男41例),平均年龄为68岁。组织病理学:76例中63例(83%)作病理组织学检查,腺癌59例、鳞状细胞癌1例、未分化癌3例。症状和征象:76例中71例有黄疸(93%),其中仅8例是波动型黄疸。42例上腹部疼痛常与黄疸的发作相一致。27例在入院前有体重减轻。初次临床检
This article reports on 76 cases of primary extrahepatic bile duct carcinoma diagnosed by surgery or autopsy at a certain three hospitals in Sweden from 1952 to 1973. Sex and age: The age range was 24 to 87 years (35 females and 41 males) with an average age of 68 years. Histopathology: Of the 76 cases, 63 (83%) were histopathological examinations, 59 adenocarcinomas, 1 squamous cell carcinoma, and 3 undifferentiated carcinomas. Symptoms and signs: Of the 76 cases, 71 cases had jaundice (93%), of which only 8 cases were fluctuating jaundice. 42 cases of abdominal pain are often consistent with the onset of jaundice. Twenty-seven had weight loss before admission. Initial clinical examination