xn砾

时间 : 2009-12-07 05:21:31 来源：homepage.vghtpe.gov.tw

栏目关注：胆囊癌病因胆囊癌症状胆囊癌检查胆囊癌怎么治疗胆囊癌治疗方法

胆囊癌饮食胆囊癌用药胆囊癌是什么病胆囊癌自我治疗胆囊癌早期症状

[摘要]

eēGxn砾oネvC10UH~Τ@HAキАき~sv13.7%CfzW82%涪砾

MI]lGx挡ホ]ぷㄤWL3そだ|^BC┦摸端H┪捌摸端Ha]chronictyphoidorparatyphoidcarrier^Bj1そだxnψBホηてxn]porceleinGB^C

{gGkW浮场khB独nB激ぃㄎB砰UBoNC

E_GWi匡uㄣC合@瘤Mゑ耕庇PAOO蔼CCEABCA199L基

TNMStagingforPrimaryNeoplasmsoftheGallbladder

PrimaryTumor（T）

TXPrimarytumorcannotbeassessedT0NoevidenceofprimarytumorTisCarcinomainsituT1TumorinvadeslaminapropriaormusclelayerT1a@@TumorinvadeslaminapropriaT1b@@TumorinvadesmusclelayerT2Tumorinvadesperimuscularconnectivetissue;noextensionbeyondserosaorintoliverT3Tumorperforatestheserosa（visceralperitoneum）ordirectlyinvadesoneadjacentorgan,orboth（extension2cmorlessintoliver）T4Tumorextendsmorethan2cmintoliver,and/orintotwoormoreadjacentorgans（stomach,duodenum,colon,pancreas,omentum,extrahepaticbileducts,anyinvolvementofliver）RegionalLymphNodes（N）NXRegionallymphnodescannotbeassessedN0NoregionallymphnodemetastasisN1Metastasisincysticduct,pericholedochaland/orhilarlymphnodes（i.e.,inthehepatoduodenalligament）N2Metastasisinperipancreatic（headonly）,periduodenal,periportal,celiac,and/orsuperiormesentericlymphnodesDistantMetastasis（M）MXDistantmetastasiscannotbeassessedM0NodistantmetastasisM1DistantmetastasisStageGroupingTisN0M0StageIT1N0M0StageIIT2N0M0StageIIIT1N1M0T2N1M0T3N0M0T3N1M0StageIVAT4N0M0StageIVBAnyTN2M0AnyTAnyNM1

v励GもNv励G度20-30%xn砾wi钡もNv励Stage0BI-laparoscopiccholecystectomyStageIIBIII-radicalcholecystectomygv励G

]もNΤㄇfH|Ы场_oA┮HΤH[Wgv励Cgv励ノもNAo{subserosalIデApositivemargin┪Oぺ挡锣簿wAo{iH┑overallsurvivalCgv励]iノLkもNfHCて厩v励GGぃㄎ

x恨砾]BileDuctCarcinoma^

eēGx恨砾hoネ60-80烦Ak┦耕hCxずx恨砾35%AOw耕tA5~overallsurvival度2.8%x~x恨砾65%A5~overallsurvival17%

MI]lG]Ax挡ホBprimarysclerosingcholangitisBulcerativecolitisBxl挛PV]Clonorchissinensis^Bhn┦ef]polycysticdisease^单C

{{G90%HΤ峨┦独nA1/3HΤkh{AㄤL|Τブ涧oBGfぃnB砰U单C

E_GE_uㄣ]AWiBCTBMRCPMERCPCCA199i讽@wl萝]followup^A]iノPSC]primarysclerosingcholangitis^fHO_咯wx恨砾z匡uㄣ]screening^C

だ戳GTNMStagingforPrimaryNeoplasmsoftheExtrahepaticBileDucts

PrimaryTumor（T）TXPrimarytumorcannotbeassessedT0NoevidenceofprimarytumorTisCarcinomainsituT1TumorinvadessubepithelialconnectivetissueorfibromuscularlayerT1aTumorinvadessubepithelialconnectivetissueT1bTumorinvadesfibromuscularlayerT2TumorinvadesperifibromuscularconnectivetissueT3Tumorinvadesadjacentstructures:liver,pancrease,duodenum,gallbladder,colon,stomachRegionalLymphNodes（N）NXRegionallymphnodescannotbeassessedN0NoregionallymphnodemetastasisN1Metastasisincysticduct,pericholedochaland/orhilarlymphnodes（i.e.,inthehepatoduodenalligament）N2Metastasisinperipancreatic（headonly）,periduodenal,periportal,celiac,and/orsuperiormesentericand/orposteriorpancreaticoduodenallymphnodesDistantMetastasis（M）MXDistantmetastasiscannotbeassessedM0NodistantmetastasisM1DistantmetastasisStageGroupingTisN0M0StageIT1N0M0StageIIT2N0M0StageIIIT1N1M0T1N2M0N1M0T2N2M0StageIVAT3AnyNM0StageIVBAnyTAnyNM1

v励G@Bxずx恨砾G（1）ResectableGち埃YL摧lf_Ail萝CYΤ摧lf_Aiσ{Aち埃A┪gv励A┪gv励[Wて厩v励]5-FU┪Gemcitabine^Av励l萝C（2）UnresectableGgv励A┪gv励[Wて厩v励]5-FU┪Gemcitabine^A┪cryotherapyA┪radiofrequencyablationC（3）MetastasisGて厩v励]5-FU┪Gemcitabine^A┪{刚喷A┪や┦励kC

GBx~x恨砾G（1）ResectableGもNち埃AY1.negativemargin-[诡┪chemoradiotherapy2.positivemargin-chemoradiotherapy（5FU）

*Huskell:adjuvantgv励ΘUa厨旧ぃ@ApEORTC{iH┑mediansurvivalAOJohnHopkinss{L┮tqCchemoradiotherapy]ΤH{ぃゑ虫Wgv励nC（2）UnresectableG惠n@xツまyCM钡chemoradiotherapy（5FU）Bて厩v励]5-FU┪Gemcitabine^B{刚喷┪や励kC

（3）MetastasisGxツまyAM钡て厩v励]5-FU┪Gemcitabine^B{刚喷B┪や励kC