中国实用外科杂志

中国实用外科杂志

• 专题笔谈 • 上一篇    下一篇

肝胆管结石合并肝内胆管癌的诊治

张永杰，刘    健   

  1. 第二军医大学东方肝胆外科医院，上海 200438
  • 出版日期:2016-03-01 发布日期:2016-03-01

  • Online:2016-03-01 Published:2016-03-01

摘要：

肝胆管结石反复发作会引起肝内胆管癌;伴发的肝内胆管癌一般起病隐匿，常被结石引起的相关临床症状所掩盖，导致漏诊而延误最佳治疗时机。因此，在肝胆管结石的临床诊疗实践中，须提高警惕，并结合血清学检测和相关影像学检查，注意除外是否合并胆管癌。对确诊的病人应采取以手术为主的综合治疗，并积极探索提高整体疗效的合理方案。

关键词: 肝胆管结石, 肝内胆管癌

Abstract:

Diagnosis and treatment of hepatolithiasis complicated with intrahepatic bile duct carcinoma        ZHANG Yong-jie, LIU Jian. Eastern Hepatobiliary Surgical Hospital, the Second Military Medical University, Shanghai 200438,China
Corresponding author：ZHANG Yong-jie,E-mail：yjoy005@sina.com
Abstract    Hepatolithiasis is an established risk factor for intrahepatic cholangiocarcinoma（ICC）. In cases of hepatolithiasis combined ICC, there is no specific symptom other than the clinical manifestations of hepatolithiasis, leading to inadequate diagnosis and delayed treatment. Detection of ICC in hepatolithiasis is dependent on both serological examination and imaging modalities. Once the diagnosis of hepatolithiasis combining ICC is confirmed, comprehensive treatment based on surgical resection is advocated.

Key words: hepatolithiasis, intrahepatic cholangiocarcinoma