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胆囊癌早期可无明显典型及特异性临床症状,因而诊治常不及时。手术切除是唯一可能根治的手段,但只有10%~30%的病人有机会接受根治性手术[1-2]。因晚期胆囊癌手术、化疗、放疗效果均不理想,故早期诊治显得尤为重要。几乎半数偶然被发现的胆囊癌病人,因胆胰炎症、胆囊良性疾病行胆囊切除,术中或术后病理确诊为胆囊癌[3-4]。这种情况在Memorial Sloan-Kettering癌症中心(世界上最大的私人癌症
Early gallbladder cancer can be no typical and specific clinical symptoms, so often not timely diagnosis and treatment. Surgical resection is the only possible cure, but only 10% to 30% of patients have the opportunity to undergo radical surgery [1-2]. Because of advanced gallbladder cancer surgery, chemotherapy, radiotherapy results are not ideal, so early diagnosis and treatment is particularly important. Almost half of the patients with gallbladder cancer who were found accidentally had cholecystectomy due to gall bladder inflammation and benign gallbladder disease, and gallbladder cancer was diagnosed intraoperatively or postoperatively. This is the case at the Memorial Sloan-Kettering Cancer Center (the largest private cancer in the world