肝内胆管癌的流行病学和外科治疗。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2016-01-01 Epub Date: 2015-11-30 DOI:10.2217/hep.15.34
Han Zhang, Feng Shen, Jun Han, Yi-Nan Shen, Guo-Qiang Xie, Meng-Chao Wu, Tian Yang
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引用次数: 2

摘要

肝内胆管癌(ICC)是一种罕见的肝胆恶性肿瘤,起源于肝内胆管上皮细胞。全球范围内ICC发病率的增加可能既反映了该病的真实增加,也反映了该病的早期发现。尽管现代外科护理取得了进步,但ICC的治愈机会仍然不理想:由于肿瘤的位置,难以实现无瘤边缘,技术挑战和局部或远处复发可能阻碍大量患者的可切除性。淋巴结受累和血管浸润被认为是影响ICC患者生存的负面预测因素。本文讨论了icc的流行病学、危险因素和手术治疗,并重点讨论了与手术治疗相关的结果和因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Epidemiology and surgical management of intrahepatic cholangiocarcinoma.

Epidemiology and surgical management of intrahepatic cholangiocarcinoma.

Intrahepatic cholangiocarcinoma (ICC) is a rare hepatobiliary malignancy arising from the epithelial cells of the intrahepatic bile ducts. The increased incidence of ICC worldwide may reflect both a true increase and the earlier detection of the disease. Despite the advances in modern surgical care, the curative chance for ICC remained suboptimal: tumor-free margins are hard to achieve due to tumor locations, and technical challenges and recurrence, either local or distant, may hamper the resectability in a large number of patients. Lymph node involvement and vascular invasions are considered negative predictive factors for survival of ICC patients. This review discusses the epidemiology, risk factors and surgical management of ICCs, and mainly focuses on outcomes and factors associated with surgical treatment.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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