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西藏高原地区胆羹结石发病年龄相对年轻,一般在21—40岁之间,但10岁胆石症并胆囊癌尚未见报道,我院93年6月30日收治一例10岁胆囊结石并胆囊癌患者,现报道如下:患儿男性,10岁,住院号93143.因间断性右上腹痛5年以胆石症收住外科.查体:T36.5℃,99次/分,BP13/7KPa.全身皮肤无黄染,右上腹剑突下有轻度压痛.B超诊断:胆囊多发性结石.于93年7月5日手术,见胆囊10×4cm,胆囊壁增厚,变硬,胆囊内有大小不等结石共275个,胆道系统无畸形.经手术切除胆囊,术后病理诊断:1.胆囊癌;2.胆囊多发结石.
The age of onset of gallstones in the Tibetan plateau is relatively young, usually between 21 and 40 years old, but 10-year-old gallstone disease and gallbladder cancer have not been reported. A 10-year-old gallstone patient with gallbladder cancer was treated on June 30, 1993 in our hospital. , is reported as follows: a male child, 10 years old, hospital number 93143. Due to intermittent right upper abdominal pain for 5 years to receive surgery for gallstone disease. Physical examination: T36.5 °C, 99 beats / min, BP13/7KPa. Yellow staining, mild tenderness under the xiphoid in the right upper abdomen. B-ultrasound diagnosis: multiple gallbladder stones. On July 5, 1993, surgery, gallbladder 10 × 4cm, gallbladder wall thickening, hardening, gallbladder size is not A total of 275 stones and other biliary system without malformation. After gallbladder surgery, postoperative pathological diagnosis: 1. Gallbladder cancer; 2. Gallstones with multiple stones.