臨床外科70巻3号

2015年03月発行

特集 生検材料を手術に活かす 臓器別 癌診療における生検の役割

胆道癌

著者： 塚原哲夫¹ 江畑智希¹ 横山幸浩¹ 國料俊男¹ 角田伸行¹ 伊神剛¹ 菅原元¹ 深谷昌秀¹ 上原圭介¹ 水野隆史¹ 山口淳平¹ 下山芳江² 梛野正人¹

所属機関： ¹名古屋大学大学院医学系研究科腫瘍外科 ²名古屋大学医学部附属病院病理部

ページ範囲：P.310 - P.315

【ポイント】
◆適切な部位の経乳頭的胆管生検は，病理組織学的な質的診断とともに，進展範囲診断が得られ，術式など治療方針の決定に有用である．
◆胆道鏡は胆管内腔の詳細な観察と胆管癌の表層進展範囲診断に有用とされるが，最終的に生検を必要とすることが多く，適応となる症例は少ない．
◆生検や術中迅速診断における病理診断の限界を理解したうえで，胆道癌治療に当たる必要がある．

参考文献

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