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作者介绍过去7年间手术治疗原发性肝癌并发胆管内癌栓及胆囊内癌栓及致梗阻性黄痘者10例。该类型肝癌诊断困难,尤其肝脏无肿块者常被误诊成胆管癌、壶腹周围癌或胆石病。文中讨论了该型肝癌的发生率、发生机制、诊断难度与诊断方法及手术治疗问题。该型肝癌预后差,但姑息性手术,摘除胆管内癌栓、疏通胆道、减轻黄疸可延长病人生存时间。
The authors introduced 10 cases of surgical treatment of primary hepatocellular carcinoma with biliary tumor thrombosis and gallbladder cancer thrombi and obstructive complications in the past 7 years. This type of liver cancer is difficult to diagnose, especially liver without lumps are often misdiagnosed as cholangiocarcinoma, periampullary cancer or gallstone disease. The article discusses the incidence, the mechanism of occurrence, the difficulty of diagnosis, the diagnosis method and the surgical treatment of this type of liver cancer. The poor prognosis of this type of liver cancer, but palliative surgery, removal of intrabiliary cancer thrombus, clear the biliary tract, reduce jaundice can prolong the survival of patients.