付随性胆嚢癌」の命名法の修正とその予防策について

[Nomenclature correction of "incidental gallbladder cancer" and its prevention strategies].

• D Zhou
• M Z Weng
• Z W Quan

抄録

腹腔鏡下胆嚢摘出術の普及に伴い、IGBCの"濫用"の傾向が世界的に顕在化してきている。慢性胆嚢炎、胆石症、胆嚢癌の発生率が比較的高い中国のような国では、IGBCの概念はもはや我々の診断治療モデルには当てはまらない。

Incidental gallbladder cancer(IGBC) originated in the West more than half a century ago.IGBC was translated and introduced into China afterwards with widespread clinical application.With the popularization of laparoscopic cholecystectomy, the trend of "abuse" of IGBC has become increasingly apparent worldwide.Many advanced gallbladder cancers have been categorized as IGBC which actually become the synonym of "missed diagnosis" . From the point of the pathology, the diagnosis of IGBC may cause delays in treatment and adversely affect the patient's prognosis.For country like China with relatively high incidences of chronic cholecystitis, cholelithiasis, and gallbladder cancer, the concept of IGBC, however, is no longer applicable to our diagnosis treat model.For improving the prognosis of gallbladder patients, it is necessary to update and rename the concept of IGBC and more attention should be paid to improve the diagnostic level of early stage tumor.

"意外胆囊癌"是半个多世纪前产生于西方，后被翻译并引入我国临床应用的学术概念。随着腹腔镜胆囊切除术的普及，在世界范围内滥用"意外胆囊癌"的趋势愈发明显，许多进展期胆囊癌被称为"意外胆囊癌"，其已成为漏诊的代名词。从病理学角度看，"意外胆囊癌"概念的存在可能导致治疗时机的延误，对患者的预后造成不良影响。我国慢性胆囊炎、胆石症、。胆囊癌发病率均较高，意外胆囊癌的概念存在极大的不规范性，已经不适用于我国目前的胆囊癌诊疗模式。我们建议纠正此概念，重新对其命名，通过不断提升胆囊癌的筛查诊断水平，最终达到改善患者预后的目的。

"意外胆囊癌"是半个多世纪前产生于西方，后被翻译并引入我国临床应用的学术概念。随着腹腔镜胆囊切除术的普及，在世界范围内滥用"意外胆囊癌"的趋势愈发明显，许多进展期胆囊癌被称为"意外胆囊癌"，其已成为漏诊的代名词。从病理学角度看，"意外胆囊癌"概念的存在可能导致治疗时机的延误，对患者的预后造成不良影响。我国慢性胆囊炎、胆石症、胆囊癌发病率均较高，意外胆囊癌的概念存在极大的不规范性，已经不适用于我国目前的胆囊癌诊疗模式。我们建议纠正此概念，重新对其命名，通过不断提升胆囊癌的筛查诊断水平，最终达到改善患者预后的目的。.