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饮食养生:胆囊腺瘤是什么病

文章目录一、胆囊腺瘤是什么病二、胆囊腺瘤的治疗三、 胆囊腺瘤的检查胆囊腺瘤是什么病1、胆囊腺瘤是什么病胆囊腺瘤多为单发,有蒂息肉,外形可呈乳头状或非乳头状 ,恶变率约30%,癌变机会与腺瘤大小呈正相关,是胆囊最常见的良性肿瘤,女性比较多见,男女之比约2: 7,大多数为单发,少数多发,可发生在胆囊的任何部位,部分病例同时伴有胆囊结石,单纯。

What disease is gallbladder adenoma? What disease is gallbladder adenoma? What disease is gallbladder adenoma? What disease is gallbladder adenoma? What disease is gallbladder adenoma? Gallbladder adenoma is a single, pedicled polyp. Its shape can be papillary or non papillary. The malignant transformation rate is about 30%. The chance of canceration is positively correlated with the size of the adenoma. It is the most common benign tumor of the gallbladder, which is more common in women, The ratio of male to female is about 2:7. Most of them are single and a few are multiple. They can occur in any part of the gallbladder, and some cases are accompanied by gallstone.

2、胆囊腺瘤的发病机制及病理生理与胆囊息肉样病变的发病机制相似,在正常人体胆细胞内也存在一种k-ras和一种g-ras两种基因,在正常情况下,这两种基因处于一种相对平衡状态,在机体抵抗力下降时,机体免疫细胞对上述两种基因的监控能力下降,再加上胆囊炎及胆固醇代谢异常等诱因,出现基因突变,使胆囊壁细胞发生一种异常增生现象,并向胆囊腔内生长赘生物,即为胆囊腺瘤。

2. The pathogenesis and pathophysiology of gallbladder adenoma are similar to that of polypoid lesions of gallbladder. There are two genes, K-ras and g-ras, in normal human bile cells. Under normal circumstances, these two genes are in a relative balance state. When the body resistance decreases, the ability of immune cells to monitor the two genes is decreased, In addition to cholecystitis and abnormal cholesterol metabolism and other incentives, gene mutation, so that gallbladder wall cells have an abnormal proliferation phenomenon, and to the gallbladder cavity growth of vegetation, namely gallbladder adenoma.

其他症状包括消化不良,偶有恶心、呕吐等,常在健康检查或人群普查时才被发现。

Other symptoms, including dyspepsia, occasional nausea and vomiting, are often found during health checks or population surveys.

患者多无明显体征,部分可有右上腹深压痛,如果存在胆囊管梗阻时,可扪及肿大的胆囊。

Most patients have no obvious signs, some of them may have deep tenderness on the right upper abdomen. If there is obstruction of cystic duct, the enlarged gallbladder can be palpated.

胆囊腺瘤的治疗1、胆囊腺瘤可单发或多发,直径为0.5~2.0cm甚至可充满整个胆囊,腺瘤表面可破溃出血、坏死、感染,胆囊腺瘤的恶变率为1.5%,一向被公认为是胆囊癌的癌前病变,一旦确诊,宜行手术切除。

The treatment of gallbladder adenoma 1. Gallbladder adenoma can be single or multiple, with a diameter of 0.5 ~ 2.0 cm, and even can fill the whole gallbladder. The surface of the adenoma can be broken, bleeding, necrosis, infection. The malignant transformation rate of gallbladder adenoma is 1.5%. It has always been recognized as the precancerous lesion of gallbladder cancer. Once diagnosed, it should be resected.

2、一般分为两大类:肿瘤性息肉样病变 包括腺瘤和腺癌。

2. There are two types: neoplastic polypoid lesions, including adenoma and adenocarcinoma.

此外,如血管瘤、脂肪瘤、平滑肌瘤、神经纤维瘤等均属罕见。

In addition, such as hemangioma, lipoma, leiomyoma, neurofibroma and so on are rare.

非肿瘤性息肉样病变 大部分为此类。

Most of the non neoplastic polypoid lesions are of this type.

此外,如腺瘤样增生、黄色肉芽肿、异位胃粘膜或胰组织等,也均属罕见。

In addition, adenomatous hyperplasia, xanthogranuloma, ectopic gastric mucosa or pancreatic tissue are rare.

3、对胆囊息肉样病变的治疗原则是,良性者可定期随诊观察,视病情发展再作处理决定。

3. The principle of treatment for polypoid lesions of gallbladder is that the benign patients can be followed up regularly, and then the treatment decision can be made according to the development of the disease.

故一般对息肉样病变大于lcm,特别是单发、宽蒂者;短期内增大迅速者;伴有胆囊结石或有明显临床症状者;影像学检查疑为恶变或恶性病变者,主张行胆囊切除手术治疗,确定胆囊癌则按胆囊癌手术处理。

Therefore, the patients with polypoid lesions larger than LCM, especially those with single lesion and wide pedicle; those with rapid enlargement in a short time; those with gallstone or obvious clinical symptoms; those suspected of malignant transformation or malignant lesions by imaging examination should be treated with cholecystectomy, while those with gallbladder cancer should be treated as gallbladder carcinoma.

常需根据影像学表现,以及进一步了解以下各点。

It is often necessary to understand the following points according to the imaging findings.

数目,多发者常为胆固醇息肉等非肿瘤性息肉样病变,腺瘤或痛多为单发。

The number and multiple lesions were usually non neoplastic polypoid lesions such as cholesterol polyps. Adenoma or pain were mostly solitary.

症状,有症状者考虑手术治疗。

Patients with symptoms should be treated with surgery.

饮食养生:胆囊腺瘤是什么病

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