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亚临床胆囊癌(SGC)是指术前、术中及大体标本均未怀疑恶性病变,而首先由显微镜检查发现的胆囊癌。本文分析31例 SGC 的病理特征和病程,旨在阐明 SGC 的临床预测因素,以确立最佳治疗方案。病例和方法从16个单位收集31例 SGC,复习其病史及影像学检查资料,胆囊作连续切片,30例获随诊,其中13例死于局部复发和(或)远处转移,1例死于肝癌;1例死于中风。余15例术后10～84个月情况良好。分别计算累积生存率并画出生存曲线。为了确定有意义的预后指标,对10个项目进行单变量分析,再对选出的显著因素进行多变量 COX 回归分析。结果1.临床资料:女性26例,男5例;年龄
Subclinical gallbladder carcinoma (SGC) refers to gallbladder cancer that was first detected by microscopy without preoperative, intraoperative, and gross specimens. This article analyzes the pathological features and course of disease in 31 cases of SGC to clarify the clinical predictors of SGC in order to establish the best treatment plan. Cases and Methods 31 cases of SGC were collected from 16 units. The medical history and imaging examinations were reviewed. Gallbladder was serially sectioned. Thirty cases were followed up. Among them, 13 cases died of local recurrence and/or distant metastasis, and 1 case died. In liver cancer; 1 case died of stroke. The remaining 15 patients were in good condition from 10 to 84 months after operation. Calculate cumulative survival rates separately and draw survival curves. To determine meaningful prognostic indicators, univariate analyses were performed on 10 items and multivariate COX regression analysis was performed on the significant factors selected. Results 1. Clinical data: 26 females, 5 males; age