胆囊癌误诊一例
摘要
<正>胆囊癌(gallbladder carcinoma,GBC)在临床并不罕见,其主要治疗方式为根治性切除术,然而大多数确诊时已为中晚期,疗效差,对临床症状不典型者,容易误诊误治。宜春市人民医院近期收治一例临床少见的胆囊癌跳跃转移误诊为胰头癌患者,现报道如下。1病例资料患者男性,58岁,因"上腹部胀痛不适3个月余"
引文
[1]李静静,刘卫,曲强,等.胆囊癌患者151例新版TNM分期的临床评估[J].中华肝胆外科杂志,2014,20(7):507-510.
[2]杨维良,李胜龙,韩丽姝,等.黄色肉芽肿性胆囊炎78例临床分析[J].中华普通外科杂志,2013,28(11):854-856.
[3]Boutros C,Gary M,Baldwin K,et al.Gallbladder cancer:past,present and an uncertain future[J].Surg Oncol,2012,21(4):e183.
[4]张鹏,魏瑛,黄鹿,等.CA19-9、CA125和碱性磷酸酶对胆囊癌临床分期的意义[J].胃肠病学,2012,17(1):31-33.
[5]徐晓,张明,康丽.MRCP结合MRI扫描对梗阻性黄疸的定位、定性诊断[J].川北医学院学报,2013,28(2):136-139.
[6]王家斌,刘丽霞,王刚,等.胆囊癌临床病理特点及预后的多因素分析[J].中华普通外科杂志,2014,29(7):499-502.
[7]Kobayashi A,Oda T,Fukunaga K,et a1.Invasion of the hepaticartery is acrucial predictor of poor outcomes in gallbladder carcinoma[J].World J Surg,2012,36(3):645-650.
[8]Otero JC,Proske A,Vallilengua C,et a1.Gallbladder cancer:surgical results after cholecystectomy in 25 patients with laminapmpria invasion and 26 patients with muscular layer invasion[J].Hepatobiliary Pancreat Surg,2006,13(6):562-566.
[9]张海文,王蒙,王传磊,等.肝胰十二指肠切除术在中晚期胆囊癌治疗中的应用[J].临床肝胆病杂志,2017,33(7):1397-1399
[10]巩鹏,刘鹏,张贤彬,等.意外胆囊癌诊断与治疗的多中心回顾性研究(附223例报告)[J].中华消化外科杂志,2018,17(3):252-256.
[2]杨维良,李胜龙,韩丽姝,等.黄色肉芽肿性胆囊炎78例临床分析[J].中华普通外科杂志,2013,28(11):854-856.
[3]Boutros C,Gary M,Baldwin K,et al.Gallbladder cancer:past,present and an uncertain future[J].Surg Oncol,2012,21(4):e183.
[4]张鹏,魏瑛,黄鹿,等.CA19-9、CA125和碱性磷酸酶对胆囊癌临床分期的意义[J].胃肠病学,2012,17(1):31-33.
[5]徐晓,张明,康丽.MRCP结合MRI扫描对梗阻性黄疸的定位、定性诊断[J].川北医学院学报,2013,28(2):136-139.
[6]王家斌,刘丽霞,王刚,等.胆囊癌临床病理特点及预后的多因素分析[J].中华普通外科杂志,2014,29(7):499-502.
[7]Kobayashi A,Oda T,Fukunaga K,et a1.Invasion of the hepaticartery is acrucial predictor of poor outcomes in gallbladder carcinoma[J].World J Surg,2012,36(3):645-650.
[8]Otero JC,Proske A,Vallilengua C,et a1.Gallbladder cancer:surgical results after cholecystectomy in 25 patients with laminapmpria invasion and 26 patients with muscular layer invasion[J].Hepatobiliary Pancreat Surg,2006,13(6):562-566.
[9]张海文,王蒙,王传磊,等.肝胰十二指肠切除术在中晚期胆囊癌治疗中的应用[J].临床肝胆病杂志,2017,33(7):1397-1399
[10]巩鹏,刘鹏,张贤彬,等.意外胆囊癌诊断与治疗的多中心回顾性研究(附223例报告)[J].中华消化外科杂志,2018,17(3):252-256.