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CSCO胆道系统肿瘤诊断治疗专家共识（2019年版）

2019-09-24 中国临床肿瘤学会 临床肿瘤学杂志.2019,24(9):828-838.

胆道系统肿瘤

胆道系统肿瘤( biliary tract carcinoma，BTC) 主要包括胆囊癌( gallbladder cancers，GBC) 和胆管癌( cholangiocarcinomas，CC) ，约占所有消化系肿瘤的3%，绝大多数为腺癌，侵袭性强，预后极差，5 年存活率＜5%。BTC 全球发病率呈现上升趋势，其中亚洲国家最为常见。BTC 的诊疗明显有别于肝细胞癌( hepatocellul

中文标题：

CSCO胆道系统肿瘤诊断治疗专家共识（2019年版）

发布机构：

中国临床肿瘤学会

发布日期：

2019-09-24

简要介绍：

胆道系统肿瘤( biliary tract carcinoma，BTC) 主要包括胆囊癌( gallbladder cancers，GBC) 和胆管癌( cholangiocarcinomas，CC) ，约占所有消化系肿瘤的3%，绝大多数为腺癌，侵袭性强，预后极差，5 年存活率＜5%。BTC 全球发病率呈现上升趋势，其中亚洲国家最为常见。BTC 的诊疗明显有别于肝细胞癌( hepatocellular carcinoma，HCC) ，但是目前多数指南或共识将其并入HCC 一起阐述，国内尚无广泛接受的BTC 共识。为了提高对BTC 的认识，规范诊疗和研究，经CSCO 胆道肿瘤专家委员会充分酝酿讨论，最终形成本共识，以供临床医生参考。

 

拓展指南：与胆道相关指南：

相关资料下载：
[AttachmentFileName(sort=100, fileName=CSCO胆道系统肿瘤诊断治疗专家共识（2019年版）)] GetToolGuiderByIdResponse(projectId=1, id=3876d1c00180a5b2, title=CSCO胆道系统肿瘤诊断治疗专家共识（2019年版）, enTitle=, guiderFrom=临床肿瘤学杂志.2019,24(9):828-838., authorId=null, author=, summary=胆道系统肿瘤( biliary tract carcinoma，BTC) 主要包括胆囊癌( gallbladder cancers，GBC) 和胆管癌( cholangiocarcinomas，CC) ，约占所有消化系肿瘤的3%，绝大多数为腺癌，侵袭性强，预后极差，5 年存活率＜5%。BTC 全球发病率呈现上升趋势，其中亚洲国家最为常见。BTC 的诊疗明显有别于肝细胞癌( hepatocellul, cover=, journalId=null, articlesId=null, associationId=863, associationName=中国临床肿瘤学会, associationIntro=null, copyright=0, guiderPublishedTime=Tue Sep 24 00:00:00 CST 2019, originalUrl=, linkOutUrl=, content=<P>胆道系统肿瘤( biliary tract carcinoma，BTC) 主要包括胆囊癌( gallbladder cancers，GBC) 和胆管癌( cholangiocarcinomas，CC) ，约占所有消化系肿瘤的3%，绝大多数为腺癌，侵袭性强，预后极差，5 年存活率＜5%。BTC 全球发病率呈现上升趋势，其中亚洲国家最为常见。BTC 的诊疗明显有别于肝细胞癌( hepatocellular carcinoma，HCC) ，但是目前多数指南或共识将其并入HCC 一起阐述，国内尚无广泛接受的BTC 共识。为了提高对BTC 的认识，规范诊疗和研究，经CSCO 胆道肿瘤专家委员会充分酝酿讨论，最终形成本共识，以供临床医生参考。</P> <P> </P>拓展指南：<strong>与<font color=red>胆道</font>相关指南：</strong><br><ul><li><a href="//www.sandwebs.com/guideline/show_article.do?id=2576a1c001e8770c" title="2018 临床实践指南：内镜超声/超声引导下胆道引流的安全操作" target=_blank>2018 临床实践指南：内镜超声/超声引导下胆道引流的安全操作</a></li> <li><a href="//www.sandwebs.com/guideline/show_article.do?id=21d7d1c001e8a75b" title="胆道镜在肝胆管结石病诊断与治疗中的应用专家共识（2019版）" target=_blank>胆道镜在肝胆管结石病诊断与治疗中的应用专家共识（2019版）</a></li> <li><a href="//www.sandwebs.com/guideline/show_article.do?id=914e01c001e76098" title="胆道外科抗菌药物规范化应用专家共识（2019版）" target=_blank>胆道外科抗菌药物规范化应用专家共识（2019版）</a></li> <li><a href="//www.sandwebs.com/guideline/show_article.do?id=e35a71c001e737fb" title="胆道闭锁诊断及治疗指南（2018版）" target=_blank>胆道闭锁诊断及治疗指南（2018版）</a></li> <li><a href="//www.sandwebs.com/guideline/show_article.do?id=576b61c001e17af4" title="胆道手术缝合技术与缝合材料选择中国专家共识（2018版）" target=_blank>胆道手术缝合技术与缝合材料选择中国专家共识（2018版）</a></li> 更多信息请点击：<a href="//www.sandwebs.com/guideline/list.do?q=%E8%83%86%E9%81%93" target=_blank>有关胆道更多指南</a></ul>, tagList=[TagDto(tagId=95684, tagName=胆道系统肿瘤)], categoryList=[CategoryDto(categoryId=5, categoryName=肿瘤科, tenant=100), CategoryDto(categoryId=91, categoryName=肝胆胰外科, tenant=100), CategoryDto(categoryId=20620, categoryName=肿瘤医学网, tenant=100), CategoryDto(categoryId=21100, categoryName=达仁堂循证e学界, tenant=100)], articleKeywordId=null, articleKeyword=null, articleKeywordNum=null, guiderKeywordId=null, guiderKeyword=null, guiderKeywordNum=null, haveAttachments=1, attachmentList=null, guiderType=0, guiderArea=共识, guiderLanguage=1, guiderRegion=3, opened=0, paymentType=null, paymentAmount=10, recommend=0, recommendEndTime=null, sticky=0, stickyEndTime=null, allHits=12447, appHits=428, showAppHits=0, pcHits=4707, showPcHits=10421, likes=60, shares=18, comments=9, approvalStatus=1, publishedTime=Wed Oct 16 23:17:14 CST 2019, publishedTimeString=2019-09-24, pcVisible=1, appVisible=1, editorId=2020535, editor=qiushida2, waterMark=0, formatted=0, memberCards=[], isPrivilege=0, deleted=0, version=1, createdBy=null, createdName=qiushida2, createdTime=Wed Oct 16 23:17:14 CST 2019, updatedBy=null, updatedName=null, updatedTime=Fri Jan 05 14:41:45 CST 2024, courseDetails=[], otherVersionGuiders=[], isGuiderMember=false, ipAttribution=, attachmentFileNameList=[AttachmentFileName(sort=100, fileName=CSCO胆道系统肿瘤诊断治疗专家共识（2019年版）)])
CSCO胆道系统肿瘤诊断治疗专家共识（2019年版）
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#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1066559, encodeId=34d81066559dd, content=好的指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b3b31539215, createdName=fjjohnkl, createdTime=Wed Nov 03 11:28:39 CST 2021, time=2021-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1056617, encodeId=2b65105661ea3, content=系统学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJ1CXL3QKAG2ibC1mTEnpicKoFOLVPgO2ibqP9uLltgEw1M9kC1Siay0UH7zbYb8tEfVvDdlAu0nejLzw/132, createdBy=94bf109446, createdName=wquick, createdTime=Thu Sep 30 18:45:58 CST 2021, time=2021-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973876, encodeId=5afd9e3876fe, content=点赞！, beContent=null, objectType=guider, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1d3f5309829, createdName=14885366m72暂无昵称, createdTime=Tue Jun 15 21:29:02 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=966114, encodeId=5d28966114ee, content=积分需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bbf45481085, createdName=ms6000001106090304, createdTime=Sun May 16 23:12:01 CST 2021, time=2021-05-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=911735, encodeId=eae7911e35e3, content=学习了！, beContent=null, objectType=guider, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJpF5W4JBb80OasrZ4ptWL33c2CQf2nCI6QsL5OicTDg6uuhJdfSLlRWXmojfClxlqkDgKfsIeR6IQ/132, createdBy=64805287905, createdName=默默6728, createdTime=Mon Dec 28 21:30:05 CST 2020, time=2020-12-28, status=1, ipAttribution=)]
    2021-11-03 fjjohnkl

    好的指南

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1066559, encodeId=34d81066559dd, content=好的指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b3b31539215, createdName=fjjohnkl, createdTime=Wed Nov 03 11:28:39 CST 2021, time=2021-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1056617, encodeId=2b65105661ea3, content=系统学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJ1CXL3QKAG2ibC1mTEnpicKoFOLVPgO2ibqP9uLltgEw1M9kC1Siay0UH7zbYb8tEfVvDdlAu0nejLzw/132, createdBy=94bf109446, createdName=wquick, createdTime=Thu Sep 30 18:45:58 CST 2021, time=2021-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973876, encodeId=5afd9e3876fe, content=点赞！, beContent=null, objectType=guider, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1d3f5309829, createdName=14885366m72暂无昵称, createdTime=Tue Jun 15 21:29:02 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=966114, encodeId=5d28966114ee, content=积分需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bbf45481085, createdName=ms6000001106090304, createdTime=Sun May 16 23:12:01 CST 2021, time=2021-05-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=911735, encodeId=eae7911e35e3, content=学习了！, beContent=null, objectType=guider, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJpF5W4JBb80OasrZ4ptWL33c2CQf2nCI6QsL5OicTDg6uuhJdfSLlRWXmojfClxlqkDgKfsIeR6IQ/132, createdBy=64805287905, createdName=默默6728, createdTime=Mon Dec 28 21:30:05 CST 2020, time=2020-12-28, status=1, ipAttribution=)]
    2021-09-30 wquick

    系统学习了

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1066559, encodeId=34d81066559dd, content=好的指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b3b31539215, createdName=fjjohnkl, createdTime=Wed Nov 03 11:28:39 CST 2021, time=2021-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1056617, encodeId=2b65105661ea3, content=系统学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJ1CXL3QKAG2ibC1mTEnpicKoFOLVPgO2ibqP9uLltgEw1M9kC1Siay0UH7zbYb8tEfVvDdlAu0nejLzw/132, createdBy=94bf109446, createdName=wquick, createdTime=Thu Sep 30 18:45:58 CST 2021, time=2021-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973876, encodeId=5afd9e3876fe, content=点赞！, beContent=null, objectType=guider, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1d3f5309829, createdName=14885366m72暂无昵称, createdTime=Tue Jun 15 21:29:02 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=966114, encodeId=5d28966114ee, content=积分需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bbf45481085, createdName=ms6000001106090304, createdTime=Sun May 16 23:12:01 CST 2021, time=2021-05-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=911735, encodeId=eae7911e35e3, content=学习了！, beContent=null, objectType=guider, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJpF5W4JBb80OasrZ4ptWL33c2CQf2nCI6QsL5OicTDg6uuhJdfSLlRWXmojfClxlqkDgKfsIeR6IQ/132, createdBy=64805287905, createdName=默默6728, createdTime=Mon Dec 28 21:30:05 CST 2020, time=2020-12-28, status=1, ipAttribution=)]
    2021-06-15 14885366m72暂无昵称

    点赞！

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1066559, encodeId=34d81066559dd, content=好的指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b3b31539215, createdName=fjjohnkl, createdTime=Wed Nov 03 11:28:39 CST 2021, time=2021-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1056617, encodeId=2b65105661ea3, content=系统学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJ1CXL3QKAG2ibC1mTEnpicKoFOLVPgO2ibqP9uLltgEw1M9kC1Siay0UH7zbYb8tEfVvDdlAu0nejLzw/132, createdBy=94bf109446, createdName=wquick, createdTime=Thu Sep 30 18:45:58 CST 2021, time=2021-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973876, encodeId=5afd9e3876fe, content=点赞！, beContent=null, objectType=guider, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1d3f5309829, createdName=14885366m72暂无昵称, createdTime=Tue Jun 15 21:29:02 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=966114, encodeId=5d28966114ee, content=积分需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bbf45481085, createdName=ms6000001106090304, createdTime=Sun May 16 23:12:01 CST 2021, time=2021-05-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=911735, encodeId=eae7911e35e3, content=学习了！, beContent=null, objectType=guider, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJpF5W4JBb80OasrZ4ptWL33c2CQf2nCI6QsL5OicTDg6uuhJdfSLlRWXmojfClxlqkDgKfsIeR6IQ/132, createdBy=64805287905, createdName=默默6728, createdTime=Mon Dec 28 21:30:05 CST 2020, time=2020-12-28, status=1, ipAttribution=)]
    2021-05-16 ms6000001106090304

    积分需要

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1066559, encodeId=34d81066559dd, content=好的指南, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b3b31539215, createdName=fjjohnkl, createdTime=Wed Nov 03 11:28:39 CST 2021, time=2021-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1056617, encodeId=2b65105661ea3, content=系统学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJ1CXL3QKAG2ibC1mTEnpicKoFOLVPgO2ibqP9uLltgEw1M9kC1Siay0UH7zbYb8tEfVvDdlAu0nejLzw/132, createdBy=94bf109446, createdName=wquick, createdTime=Thu Sep 30 18:45:58 CST 2021, time=2021-09-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=973876, encodeId=5afd9e3876fe, content=点赞！, beContent=null, objectType=guider, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1d3f5309829, createdName=14885366m72暂无昵称, createdTime=Tue Jun 15 21:29:02 CST 2021, time=2021-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=966114, encodeId=5d28966114ee, content=积分需要, beContent=null, objectType=guider, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bbf45481085, createdName=ms6000001106090304, createdTime=Sun May 16 23:12:01 CST 2021, time=2021-05-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=911735, encodeId=eae7911e35e3, content=学习了！, beContent=null, objectType=guider, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJpF5W4JBb80OasrZ4ptWL33c2CQf2nCI6QsL5OicTDg6uuhJdfSLlRWXmojfClxlqkDgKfsIeR6IQ/132, createdBy=64805287905, createdName=默默6728, createdTime=Mon Dec 28 21:30:05 CST 2020, time=2020-12-28, status=1, ipAttribution=)]
    2020-12-28 默默6728

    学习了！

    0

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