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肝内胆管癌的诊断策略

粟立红 朱新宇 张缭云

引用本文:
Citation:

肝内胆管癌的诊断策略

DOI: 10.3969/j.issn.1001-5256.2017.01.042
详细信息
  • 中图分类号: R735.8

Diagnosis strategies for intrahepatic cholangiocarcinoma

  • 摘要:

    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。

     

  • [1] Chinese Chapter of International Hepato-Pancreato-Biliary Association,Hepatic Surgery Group,Chinese Society of Surgery,Chinese Medical Association.Diagnosis and treatment of cholangiocarcinoma:surgical expert consensus[J].J Clin Hepatol,2015,31(1):12-16.(in Chinese)国际肝胆胰学会中国分会,中华医学会外科学分会肝脏外科学组.胆管癌诊断与治疗——外科专家共识[J].临床肝胆病杂志,2015,31(1):12-16.
    [2]PATEL T.Worldwide trends in mortality from biliary tract malignancies[J].BMC Cancer,2002,2:10.
    [3]POULTSIDES GA,ZHU AX,CHOTI MA,et al.Intrahepatic cholangiocarcinoma[J].Surg Clin North Am,2010,90(4):817-837.
    [4]SHIN HR,OH JK,MASUYER E,et al.Comparison of incidence of intrahepatic and extrahepatic cholangiocarcinoma——focus on East and South Eastern Asia[J].Asian Pac J Cancer Prev,2010,11(5):1159-1166.
    [5]MAVROS MN,ECONOMOPOULOS KP,ALEXIOU VG,et al.Treatment and prognosis for patients with intrahepatic cholangiocarcinoma:systematic review and meta-analysis[J].JAMA Surg,2014,149(6):565-574.
    [6]LEE CC,WU CY,CHEN GH.What is the impact of coexistence of hepatolithiasis on cholangiocarcinoma?[J].J Gastroenterol Hepatol,2002,17(9):1015-1020.
    [7]ZHOU H,WANG H,ZHOU D,et al.Hepatitis B virus-associated intrahepatic cholangio-carcinoma and hepatocellular carcinoma may hold common disease process for carcino-genesis[J].Eur J Cancer,2010,46(6):1056-1061.
    [8]NAKANUMA Y,SATO Y,HARADA K,et al.Pathological classification of intrahepatic cholangiocarcinoma based on a new concept[J].World J Hepatol,2010,2(12):419-427.
    [9]SEMPOUX C,JIBARA G,WARD SC,et al.Intrahepatic Cholangiocarcinoma:new insights in pathology[J].Semin Liver Dis,2011,31(1):49-60.
    [10]GUAN CN,CUI F,SU H,et al.Roles of four tumor markers in differential diagnosis of intrahepatic cholangiocarcinoma and hepatocellular carcinoma:a clinical study[J].Chin Hepatol,2015,20(11):864-866.(in Chinese)管超楠,崔峰,苏华,等.四种肿瘤标记物鉴别诊断肝内胆管癌与肝细胞癌的临床研究[J].肝脏,2015,20(11):864-866.
    [11]ZHANG YL.The strategy of clinical diagnosis in biliary tract tumors[J].J Surg Concepts Pract,2003,8(2):95-96.(in Chinese)张延龄.诊断胆道肿瘤的临床思路[J].外科理论与实践,2003,8(2):95-96.
    [12]DHANASEKARAN R,HEMMING AW,ZENDEJAS I,et al.Treatment outcomes and prognostic factors of intrahepatic cholangiocarcinoma[J].Oncol Rep,2013,29(4):1259-1267.
    [13]GALASSI M,IAVARONE M,ROSSI S,et al.Patterns of appearance and risk of misdiagnosis of intrahepatic cholangiocarcinoma in cirrhosis at contrast enhanced ultrasound[J].Liver Int,2013,33(5):771-779.
    [14]MAO R,XU EJ,LI K,et al.Usefulness of contrast.Enhanced ultrasound in the diagnosis of biliary leakage following T-tube removal[J].J Clin Ultrasound,2010,38(1):3840.
    [15]ITO K,FUJITA N,NODA Y,et al.Preoperative evaluation of ampullary neoplasm with EUS and transpapillary intraductal US:a prospective and histopathologically controlled study[J].Gastrointest Endosc,2007,66(4):740-747.
    [16]SONAVANE SK,MENIAS CO.Imaging biliary strictures—a pictorial review[J].Curt Probl Diagn Radiol,2014,43(1):14-34.
    [17] Anti-Cancer Association of China.Guideline for the diagnosis and therapy of hilar cholangiocarcinoma(2015)[J].Chin J Hepatobiliary Surg,2015,21(8):505-511.(in Chinese)中国抗癌协会.肝门部胆管癌规范化诊治专家共识(2015)[J].中国肝胆外科杂志,2015,21(8):505-511.
    [18]SASAKI R,KONDO T,ODA T,et al.Impact of three-Dimensional analysis of multidetector row computed tomography cholangiocarcinoma in operative planning for hilar cholangio-carcinoma[J].Am J Surg,2011,202(4):441-448.
    [19] MENG XC.How to diagnose intrahepatic cholangiocellular carcinoma[N].China Medical Tribune Tumor Today,2015,12(1).孟晓春.如何诊断肝内胆管细胞癌[N].中国医学论坛报今日肿瘤,2015,12(1).
    [20]de BONDT RB,HOEBERIGS MC,NELEMANS PJ,et al.Diagnostic accuracy and additinal value of difusion-weighted imaging for discrimination of malignant cervical lymph nodes in head and neck squamous cel I carcinoma[J].Neuroradiology,2009,51(3):183-192.
    [21] Chinese Society of Liver Cancer,Chinese Anti-Cancer Association;Liver Cancer Study Group,Chinese Society of Hepatology,Chinese Medical Association;Chinese Society of Pathology,Chinese AntiCancer Association,et al.Evidence-based practice guidelines for the standardized pathological diagnosis of primary liver cancer in China(2015 update)[J].J Clin Hepatol,2015,31(6):833-839.(in Chinese)中国抗癌协会肝癌专业委员会,中华医学会肝病学分会肝癌学组,中国抗癌协会病理专业委员会,等.原发性肝癌规范化病理诊断指南(2015年版)[J].临床肝胆病杂志,2015,31(6):833-839.
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  • 出版日期:  2017-01-20
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