سرطان المرارة
Abstract
خضع حوالى 1138 مريضاً لاستئصال مرارة في مشفى الأسد الجامعي باللاذقية خلال فترة عشر سنوات (1997-2007)، 837 أنثى (73,55%) و301 ذكر (23,45%). وجد سرطان المرارة عند 17مريضاً (1,49%).
شملت هذه الدراسة 17 مريضاً لديهم سرطانة مرارية، 13 أنثى (76,55%)، و4 ذكور (23,45%). العمر الوسطي وقت التشخيص 60,8 سنة. معدل إصابة الإناث إلى الذكور 3,25: 1. فكانت النتائج:
- الألم البطني أكثر الأعراض السريرية شيوعاً (94%).
- وجدت الحصيات المرارية في (88,2%).
- السرطانة الغدية أكثر الأشكال التشريحبة المرضية تواجداً (76,74%).
- التسمك في جدار المرارة، السليلات، الكتلة في سرير المرارة هي المعطيات الأكثر تقاطعاً بين التصوير بالأمواج فوق الصوتية والطبقي المحوري للبطن.
- يحضر معظم مرضى سرطان المرارة بمرحلة متقدمة من الداء (المرحلة III أو أكثر ).
1138 patients, 837 females (73.55%) and 301 males (23.45%), underwent cholecystectomy at Al-Assad University Hospital in Lattakia. GBC is found in 17 cases (1.49%).
This study included 17 patients of GBC, 13 female (74.55%) and 4 males (23,45%). The mean age at diagnosis is 60.8 (41-75) years, with female to male ratio 3. 25: 1.
The results are as follows:
- Abdominal pain was the most common symptom (94%).
- Gallstones are presented in 88.2%.
- Adenocarcinoma was the most common pathological type (76.74%).
- Thickwalled, polyps, and mass in gallbladder bed were the most common on both US and CT-scan.
- The majority of patients with GBC have advanced stage (STAGE III and above).
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