黏液分泌性胆道肿瘤的诊治

摘要

目的 总结黏液分泌性胆道肿瘤的诊断和治疗经验.方法 回顾性分析2002年11月至2005年5月收治7例黏液分泌性胆道肿瘤患者的临床病理资料,总结影像学特征、临床表现、手术方式和手术要点.结果 临床表现以波动性黄疸为主,肿瘤在MRCP上有特征性的表现,与胆囊癌、肝门胆管癌及下段胆管癌均有明显差别,所有患者均经手术治疗痊愈.结论 胆道黏液分泌性肿瘤的临床表现以波动性黄疸为主,MRCP检查有其特点.手术中应仔细探查、彻底切除肿瘤.%Objective To summarize experience of diagnosis and treatment of the mucin-producing bile duct tumors(MPBTs). Methods Clinicopathological features of 7 patients with MPBT undergoing surgery from Nov 2002 to May 2005,were retrospectively reviewed.The clinical radiography characteristics and the resection type were summarized respectively. Results Fluctuant iaundice was the most common manifestation of MPBTs,with different characteristics of magnetic resonance cholangiopancreatography when compared with gallbladder carcinoma,hilar cholangiocarcinoma and distal bile duct cancer.All the 7 patients with MPBT underwent successful surgical resection and were cured. Conclusion Appropriate diagnosis and treatment of MPBTs made it possible to achieve long-term survival of these patients.