国际肿瘤学杂志 ›› 2015, Vol. 42 ›› Issue (1): 60-63.doi: 10.3760/cma.j.issn.1673-422X.2015.01.016

• 综述 • 上一篇    下一篇

原发性肝内胆管癌的临床病理特征与外科策略

雷道雄, 王凤飚, 刘森   

  1. 300140天津医科大学第四中心临床学院 天津市第四中心医院肝胆外科
  • 收稿日期:2014-06-10 修回日期:2014-08-04 出版日期:2015-01-08 发布日期:2015-01-07
  • 通讯作者: 雷道雄 E-mail:daoxiong.lei@yahoo.com
  • 基金资助:

    天津市应用基础与前沿技术研究计划项目(14JCYBJC25900)

Clinical pathological features and surgical treatment of primary intrahepatic cholangiocarcinoma

Lei Daoxiong, Wang Fengbiao, Liu Sen   

  1. Fourth Center Clinical College, Tianjin Medical University, Department of Hepatobiliary Surgery, Tianjin Forth Central Hospital, Tianjin 300140, China
  • Received:2014-06-10 Revised:2014-08-04 Online:2015-01-08 Published:2015-01-07
  • Contact: Lei Daoxiong E-mail:daoxiong.lei@yahoo.com

摘要: 原发性肝内胆管癌是成人肝脏内发生的第2大类原发性恶性肿瘤,全球范围内呈日益增多的趋势。病理学上以结节型多见,典型的组织学表现为管状腺癌。手术切除是其获得治愈的唯一有效方法,部分早期患者还可选择肝移植。对于不能切除的或术后复发的患者,可行射频消融、经肝动脉栓塞化疗或分子靶向治疗。

关键词: 胆管,肝内, 胆管肿瘤, 病理学, 临床, 外科治法

Abstract: Primary intrahepatic cholangiocarcinoma (ICC) is the second frequent malignant tumor in adult liver, and appears an increasing tendency worldwide. Gross type is frequently massforming and a tubular adenocarcinoma is shown as the typical histopathological appearance. Surgical resection is the only curative treatment, and liver transplantation is selected for the patients with early ICC. Rediofrequency ablation, transcatheter arterial chemoembolization or molecular targeted therapies should be considered in the treatment of the unresectable or recurrent patients.

Key words: Bile ducts, intrahepatic, Bile duct neoplasms, Pathology, clinical, Surgical therapy