The association between extrahepatic biliary carcinoma and the junction of the cystic duct and the biliary tree.
The association between extrahepatic biliary carcinoma and the junction of the cystic duct and the biliary tree.
复制标题
肝外胆管癌与胆囊管和胆管树交界处的关系。
DOI：
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复制
发表时间：
1994
期刊：
影响因子：
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通讯作者：
T. Muto
中科院分区：
文献类型：
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作者：
T. Ohtani;Y. Shirai;K. Tsukada;K. Hatakeyama;T. Muto
目标
准确确定原发性肝外胆道癌的部位，以便给予最佳治疗。
设计
回顾性研究。
设置
大学外科系。
科目
120 名患者，121 名原发性肝外胆管癌。
主要成果指标
切除标本的组织学检查显示肿瘤部位（原发部位为肿瘤几何中心）以及距胆囊管与胆管树交界处的距离。
结果
64 个肿瘤 (53%) 位于交界处 5 毫米以内； 14 个位于交界处近端，32 个位于远端，18 个位于胆囊管本身内。
结论
超过一半的原发性肝外胆管肿瘤位于胆囊管与胆管树其余部分交界处 5 毫米以内。需要进一步调查以确定是否可以确定任何特定的病因。
OBJECTIVE
To establish accurately the sites of primary extrahepatic biliary carcinomas, so that optimal treatment may be given.
DESIGN
Retrospective study.
SETTING
University department of surgery.
SUBJECTS
120 patients with 121 primary extrahepatic biliary carcinomas.
MAIN OUTCOME MEASURES
Site of tumour (primary site being geometric centre of tumour) and distance from junction of cystic duct and the biliary tree on histological examination of the resected specimen.
RESULTS
64 of the tumours (53%) were within 5 mm of the junction; 14 were proximal to the junction, 32 distal, and 18 within the cystic duct itself.
CONCLUSIONS
Over half the primary extrahepatic biliary tumours were within 5 mm of the junction of the cystic duct and the rest of the biliary tree. Further investigations are required to find out if any particular aetiological factor can be identified.