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一、病例资料患者女,66岁,退休老师。因胆囊癌手术后1年零4个月发现肝转移而入院。患者于2009年12月1日行胆囊癌切除术+肝部分切除术+胆肠吻合术,术后病理显示:胆囊中分化腺癌浸及浆膜,术后病检胆囊壁及肝组织未见癌;2010年1月至2月上旬化疗2个周期(GP方案),出现Ⅳ度骨髓抑制,肺部感染,输红细胞、血小板等后好转。2010年2月21日始行放射治疗,先行常规放疗,400cGy分2次;后行X刀治疗,1800cGy分3次,再次出现Ⅲ度骨髓抑制而终止放射治疗。
First, the patient information Female, 66 years old, retired teacher. Due to gallbladder cancer after 1 year and 4 months found liver metastasis and admission. Patients on December 1, 2009 underwent gallbladder resection + partial hepatectomy + cholangioenterostomy, postoperative pathology showed: the gallbladder in the differentiation of adenocarcinoma and serosa, postoperative pathological examination of the gallbladder wall and liver tissue were not seen Cancer; January 2010 to early February chemotherapy 2 cycles (GP program), there IV degree myelosuppression, lung infection, red blood cells, platelets and other improved after. February 21, 2010 the beginning of radiation therapy, the first conventional radiotherapy, 400cGy points 2; after X knife treatment, 1800cGy points 3 times, again III degree bone marrow suppression and termination of radiation therapy.