Nakayama T, Yoshimitsu K, Irie H, Aibe H, Tajima T, Shinozaki K, Nishie A, Kakihara D, Matsuura S, Honda H
Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku Fukuoka 812-8582, Japan.
Abdom Imaging. 2003 Sep-Oct;28(5):684-7. doi: 10.1007/s00261-003-0002-5.
We present a case of gallbladder carcinoma, in which fat was detected on dual-echo chemical shift magnetic resonance imaging (MRI). Histologic analysis showed poorly differentiated adenocarcinoma associated with massive xanthogranulomatous change. Sudan IV staining successfully confirmed the presence of fat within the interstitial histiocytes. Although rare, gallbladder carcinoma with xanthogranulomatous change should be included in the differential diagnosis of fatty tumor involving the region of the liver as observed on chemical shift MRI.
我们报告一例胆囊癌，在双回波化学位移磁共振成像（MRI）中检测到脂肪。组织学分析显示低分化腺癌伴有大量黄色肉芽肿性改变。苏丹IV染色成功证实间质组织细胞内存在脂肪。尽管罕见，但在化学位移MRI上观察到的伴有黄色肉芽肿性改变的胆囊癌应纳入涉及肝脏区域的脂肪性肿瘤的鉴别诊断。
