胆囊癌胆囊癌l l胆囊原发癌是一种少见的高度恶性肿瘤胆囊原发癌是一种少见的高度恶性肿瘤l l五年生存率五年生存率5%2：l，内壁凸凹不平，壁僵硬l l胆囊轮廓不清l l黏膜线不完整l l梗阻性黄疸l l胆囊壁呈均匀一致性增厚， 最厚：最薄2：1， 壁较柔软l l胆囊轮廓清楚l l胆囊黏膜线完整Type3 Intraluminal PolyplMalignant lesions are usually larger than 1 cm in diameter and may have a thickened implantation base肿瘤分期治疗方案预后l l中位生存期：可疑癌 9.2月，偶发癌 26.5月l l生存率： T1 60%-100%(胆囊切除) T2N0M0 10-22%（无放疗） 60-80%（术后放疗） T3 15% T4 disappointing.ReferenceslGallbladder Carcinoma Update: Multimodality Imaging Evaluation, Staging, and Treatment Options. AJR 2008; 191:14401447lGallbladder carcinoma. G. Miller, W.R. Jarnagin / EJSO 34 (2008) 306e312lGallbladder cancer The American. Journal of Surgery (2008) 196, 252264lGallbladder Carcinoma:Radiologic-Pathologic Correlation. RadioGraphics 2001; 21:295314