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目的探讨少见的肝内胆管囊腺瘤和囊腺癌临床特点与治疗方法。方法回顾分析8例肝内胆管囊腺瘤和囊腺癌的临床病理表现、诊治经验并结合文献资料进行讨论。结果本组患者男3例,女5例。囊腺瘤2例,囊腺癌6例。3例患者无症状,5例主要表现为腹痛,可伴有发热。超声检查适用于筛选和随访,对于可疑病例可结合 CT 检查。手术治疗是首选的治疗方法,彻底切除肿瘤是根治疾病、提高生存率和预防肿瘤复发的关键,经过彻底手术切除的患者长期随访效果好。结论提高对肝内胆管囊腺瘤和囊腺癌的诊断率对治疗及预后至关重要,彻底切除肿瘤是保证生存率、减少复发率的关键。
Objective To investigate the clinical features and treatment of rare intrahepatic cholangiocarcinoma and cystadenocarcinoma. Methods Retrospective analysis of 8 cases of intrahepatic biliary cystadenoma and cystadenocarcinoma of the clinicopathological manifestations, diagnosis and treatment experience combined with the literature to discuss. Results The group of 3 males and 5 females. 2 cases of cystadenoma, 6 cases of cystadenocarcinoma. Three patients were asymptomatic, and 5 were mainly abdominal pain accompanied by fever. Ultrasound screening is suitable for screening and follow-up, for suspected cases can be combined with CT examination. Surgical treatment is the preferred method of treatment, complete removal of the tumor is the cure for the disease, improve survival and prevent tumor recurrence of the key, after a thorough surgical removal of long-term follow-up effect is good. Conclusion Increasing the diagnostic rate of intrahepatic cholangiocarcinoma and cystadenocarcinoma is very important for the treatment and prognosis. Thorough resection of the tumor is the key to ensure the survival rate and reduce the recurrence rate.