肝内胆管癌的诊断策略

摘要

Intrahepatic cholangiocarcinoma is an uncommon malignant tumor,and its incidence has been increasing in the recent 30 years. Since patients have no specific clinical manifestations in early stage,the diagnosis of this disease is often very difficult,with a low rate of radical resection in late stage and poor prognosis.Therefore,as for patients with intrahepatic cholangiocarcinoma,early screening and diag-nosis is of vital importance.Imaging examination is an important method for the diagnosis of intrahepatic cholangiocarcinoma,and when com-bined with laboratory markers and pathological examination,it can increase diagnostic rate and reduce the rate of missed diagnosis.It is im-portant in clinical practice to select reasonable methods based on the patient′s actual condition.%肝内胆管癌是比较少见的恶性肿瘤，近30年来其发病率逐渐上升，因早期无特异临床表现，不易诊断，晚期治疗根治性切除率低，预后差。因此，对于肝内胆管癌患者，早期筛查及诊断尤为重要。影像学检查是检测肝内胆管癌的重要手段，可以联合实验室指标、病理学检查提高诊断率，降低漏诊率，临床上应根据患者具体情况合理选择。