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先天性胆管扩张症癌变及其治疗

陈燕凌 韩圣华

中国实用外科杂志2012,Vol.32Issue(3):196-198,3.
中国实用外科杂志2012,Vol.32Issue(3):196-198,3.

先天性胆管扩张症癌变及其治疗

Malignant change of congenital biliary dilatation and its treatment

陈燕凌 1韩圣华1

作者信息

  • 1. 福建医科大学附属协和医院肝胆外科,福建福州350001
  • 折叠

摘要

Abstract

Congenital biliary dilatation (CBD) is a premalignant lesion. Pancreaticobiliary malfunction plays important roles in the process of malignant change. The incidence of malignant change increases obviously with age. Complete cyst excision with cholecystectomy and Roux-en-Y hepaticojejunostomy is required as soon as a diagnosis is made to interrupt the cancerous potential. The clinical symptom of malignant change of CBD is nonspecific. Preoperative diagnosis is difficult and the prognosis is poor. The intraoperative frozen section should be performed to rule out the presence of cancer. The operation for carcinoma of the bile duct should be performed in CBD with malignant change. Palliative surgery should be considered to relieve symptom and improve survival in patients with unresectable disease.

关键词

先天性胆管扩张症/癌变

Key words

congenital biliary dilatation/ malignant change

分类

医药卫生

引用本文复制引用

陈燕凌,韩圣华..先天性胆管扩张症癌变及其治疗[J].中国实用外科杂志,2012,32(3):196-198,3.

中国实用外科杂志

OA北大核心CSCDCSTPCD

1005-2208

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