摘要
胆管内乳头状黏液瘤是一种较为罕见的胆管内乳头状肿瘤,近年报道逐渐增多。其主要的表现是由黏液瘤分泌过量的黏液蛋白引起的阻塞性黄疸,CT及磁共振胰胆管造影(MRCP)可见胆道扩张、胆道占位、充盈缺损,胆道镜检查发现大量黏液样胆汁,病理组织活检可证实。该病良性居多,但也有癌变或恶性者。局限性病灶多采用手术进行根治性切除,预后较好。无法耐受手术患者可采取非手术治疗,但效果有限。预后尚需进一步研究。
Intraductal papillary mucinous neoplasm of the bile duct is a rare kind of papillary neoplasm of the bile duct. In the recent years. The reports concerned have been increasing. The main clinical manifestation is the obstructive jaundice caused by mucinous proteins secreted by the mucinous neoplasms. With the help of computed tomography and magnetic resonance cholangio-pancreatography,the bile dilation,the bile occupation and filling-defect can be observed.Through the choledochoscope large amounts of mucous-like gall can be seen. And pathological tissue biopsy can confirm the diagnosis. This disease is mostly benign but some malignant. The limited lesions are mostly treated by radical excision and the prognosis is good,while the diffused lesions prefer the chemotherapy but the effect is poor and the prognosis is not good.
出处
《外科研究与新技术》
2015年第1期40-43,共4页
Surgical Research and New Technique
关键词
胆管乳头状黏液性肿瘤
病理分型
诊疗进展
Intraductal papillary mucinous neoplasm of the bile duct
Pathological type
Advance of diagnose and therapy
