南方医科大学学报2011，Vol.31Issue(10)：1733-1736,4.DOI:44-1627/R.20111003.1011.006
肝内胆管囊腺瘤:单中心连续10例诊疗经验
Intrahepatic biliary cystadenoma: experience with 10 consecutive cases at a single center
摘要
Abstract
Objective To summarize the clinical experience with diagnosis and treatment of intrahepatic biliary cystadenoma (IBCA). Methods We retrospectively analyzed the data of 10 consecutive IBCA cases treated in our department in light of the characteristics of the epidemiology, radiology, lab tests, pathology and prognostic. Results The patients are all female with an average age of 48.9 (16-73) years. The number of asymptomatic, slightly symptomatic and severe symptomatic patients was 4, 4 and 2, respectively. Radiological examination showed segmented cystic lesions in all the cases with an average diameter is 13.3 ±4.9 cm. The incidence of segmentation, papillary or nodular hyperplasia, and calcification within the lesions was 90% , 60% and 20% , respectively. Macroscopic examination of the specimen showed compartmentation in the lesions, and microscopically, the lesions all showed lining of cubic or columnar epithelium on the inner wall with ovary-like or fibrous stroma. Complete resection of the tumor was achieved in 8 cases and partial resection was performed in 2 cases. The patients were followed up for a mean of 55.3 (12-164) months, and none of the patients with complete tumor resection showed recurrence, while both of the two patients with partial resection had postoperative recurrence. Conclusion IBCA is a rare cystic lesion occurring primarily in middle-aged women. The preoperative diagnosis of this disease relies primarily on radiological evidences, and a complete resection of IBCA may prolong the patient survival.关键词
胆管囊腺瘤/肝内胆管/影像学/病理学/生存分析Key words
biliary cystadenoma/ intrahepatic duct/ radiology/ pathology/ survival analysis分类
医药卫生引用本文复制引用
孟翔飞,李杰,张文智,陈永亮,史宪杰,纪文斌,黄晓强,王敬,董家鸿..肝内胆管囊腺瘤:单中心连续10例诊疗经验[J].南方医科大学学报,2011,31(10):1733-1736,4.基金项目
国家卫生部行业基金(200802012) （200802012）
