Ultrasound Diagnosis and Differential Diagnosis of Gallbladder Carcinoma_West China Medical Journal

Authors：

 ZHANGShu-ping ¹ , DAIJia-ping ² ,  LIZhao-xia ³

1. Department of Gastroenterology, Yibin First People's Hospital, Yibin, Sichuan 644000 P. R. China;
2. Department of Anatomy, Yibin Health College, Yibin, Sichuan 450000, P. R. China;
Department of Ultrasound, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LIZhao-xia, Email: lizichengdu@163.com

Keywords：

Gallbladder carcinoma; Ultrasound in diagnosis; Differential diagnosis

DOI：

10.7507/1002-0179.20140685

Video：

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Objective To evaluate the diagnostic value of ultrasound for gallbladder carcinoma (GA), in order to improve the ability of early ultrasonic and clinical diagnosis of GA. Methods We analyzed and compared the clinical data and ultrasonic results of 42 GA cases confirmed by surgery and pathology between January 2008 and December 2013, and summarized the classification, ultrasonographic features, and diagnosis of GA. Results Among the 42 cases, 25 were correctly diagnosed by ultrasound (59.5%), among which 9 were thick-wall type, 11 were protrusion type and 5 were solid type. Seventeen cases were misdiagnosed (40.5%). Pathological results showed 14 cases of highly-differentiated adenocarcinoma, 16 of moderately differentiaed adenocarcinoma, 9 of poorly-differentiated adenocarcinoma, 2 of squamous adenocarcinoma and 1 of neuroendocrine carcinoma. Conclusion Ultrasound is the preferred method for the diagnosis of GA because of its convenience, although the diagnostic accuracy is still not good and more efforts should be done.

Citation： ZHANGShu-ping, DAIJia-ping, LIZhao-xia. Ultrasound Diagnosis and Differential Diagnosis of Gallbladder Carcinoma. West China Medical Journal, 2014, 29(12): 2267-2270. doi: 10.7507/1002-0179.20140685 Copy

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11.	楊田, 孫經建. 黃色肉芽腫性膽囊炎與膽囊癌的臨床鑒別[J]. 國際外科學雜志, 2006, 33(5):338-341.
12.	戎海仁. 膽囊癌的超聲特點及誤漏診原因分析[J]. 臨床醫藥實踐, 2010, 19(15):629-630.
13.	金秋龍, 郭建鋒. 黃敏, 等. 原發性膽囊癌的超聲診斷及漏誤診分析[J]. 臨床和實驗醫學雜志, 2009, 8(9):44-45.
14.	史永平, 宗明. 膽囊癌的臨床病理特征與預后關系分析[J]. 中華臨床醫師雜志·電子版, 2013, 7(11):4734-4738.
15.	張陽, 蘭勇, 牟永華. 原發性膽囊癌診治進展[J]. 肝膽胰外科雜志, 2013, 25(1):86-88.

1. 鄭浩. 膽囊癌的CT與B超診斷價值[J]. 醫學綜述, 2009, 15(2):307-309.
2. 石景森. 膽囊結石與膽囊癌[J]. 中國實用外科雜志, 1995, 15(1):12-14.
3. 黃加國, 尚延生. 膽囊結石與膽囊癌局部浸潤相關性的臨床研究[J]. 中國現代醫學雜志, 2014, 24(29):80-82.
4. 蔣兆彥, 韓天權, 張圣道. 對膽囊結石導致膽囊癌發病的認識[J]. 中國實用外科雜志, 2013, 31(3):202-204.
5. 方捷迪, 易慕華, 楊巧蓉, 等. 膽囊癌5例臨床病理分析[J]. 現代醫藥衛生, 2011, 27(21):3289-3290.
6. 李東迂, 蘇繼榮. 膽囊癌病因的研究現狀與進展[J]. 中國現代藥物應用, 2013, 7(21):218-220.
7. 李彥娟, 胡向東, 馮彥紅, 等. 超聲對膽囊癌的診斷價值[J]. 中華醫學超聲雜志·電子版, 2011, 8(9):1952-1957.
8. 馮彥紅, 錢林學. 超聲在膽囊癌診斷中的應用價值[J]. 中國腫瘤影像學, 2009, 2(5):74-77.
9. 董建黨, 周玫娟. 彩超在膽囊癌診斷中的應用[J]. 中國社區醫師·醫學專業, 2012, 14(8):260.
10. 陳亞進. 膽囊的解剖學特點及膽囊癌浸潤轉移途徑[J]. 中國實用外科雜志, 2011, 31(3):207-209.
11. 楊田, 孫經建. 黃色肉芽腫性膽囊炎與膽囊癌的臨床鑒別[J]. 國際外科學雜志, 2006, 33(5):338-341.
12. 戎海仁. 膽囊癌的超聲特點及誤漏診原因分析[J]. 臨床醫藥實踐, 2010, 19(15):629-630.
13. 金秋龍, 郭建鋒. 黃敏, 等. 原發性膽囊癌的超聲診斷及漏誤診分析[J]. 臨床和實驗醫學雜志, 2009, 8(9):44-45.
14. 史永平, 宗明. 膽囊癌的臨床病理特征與預后關系分析[J]. 中華臨床醫師雜志·電子版, 2013, 7(11):4734-4738.
15. 張陽, 蘭勇, 牟永華. 原發性膽囊癌診治進展[J]. 肝膽胰外科雜志, 2013, 25(1):86-88.

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West China Medical Journal

Ultrasound Diagnosis and Differential Diagnosis of Gallbladder Carcinoma

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