50 cases of primary gallbladder cancer diagnosis and treatment of.docVIP

 PAGE \* MERGEFORMAT 12 50 cases of primary gallbladder cancer diagnosis and treatment of 【Key Words】 primary gallbladder carcinoma Primary gallbladder carcinoma is the most common malignant biliary system, accounting for the incidence of digestive system cancer fifth [1]. Its symptoms and signs do not have specific, so early diagnosis was low. Although as CT, MRI in the clinical application of continuous wide range of early gallbladder cancer diagnosis rate has increased over the previous, but because it has a high degree of malignancy, prognosis and rapid cure characteristics of fewer opportunities, the prognosis remains poor, the more to Vietnam were valued by clinical surgery. Are now in our hospital from January 2000 to December 2006 admitted 50 cases of primary gallbladder carcinoma clinical data for a retrospective analysis, reported as follows. A clinical data 1.1 General Information The group of 50 cases, male 11, female 39 cases, aged 38 to 79 years (mean 61 years), of which 50 to 70-year-old age group the highest incidence rates (73%). 1.2 Clinical manifestations Right upper quadrant pain in 44 cases (88%), jaundice in 10 cases (20%). The performance of eight cases of acute cholecystitis, chronic cholecystitis in 34 cases. Gallstones in 26 cases, merging common bile duct stones in 2 cases, combined choledochal cyst in 1 case. Weight loss in 14 cases. 3 cases were detected during physical examination of asymptomatic gallbladder carcinoma. 1.3 assistant examination 50 cases, B super-prompt gallbladder cancer 13 cases; CT prompted 18 cases of gallbladder carcinoma; MRI prompted seven cases of gallbladder carcinoma; 17 cases of post-operative biopsy was confirmed by pathology; four cases of preoperative diagnosis of the liver space-occupying, intraoperative exploration found of primary gallbladder carcinoma. B-, CT, MRI and other imaging studies on the tips of primary gallbladder carcinoma wer