Franquet T, Montes M, Ruiz de Azua Y, Jimenez F J, Cozcolluela R
Department of Radiology, Hospital Virgen del Camino, Pamplona, Spain.
Gastrointest Radiol. 1991 Spring;16(2):143-8. doi: 10.1007/BF01887330.
Different diagnostic imaging modalities [contrast cholangiography, ultrasonography, and computed tomography (CT)] in a large group of patients with proven gallbladder carcinoma are reviewed. Noninvasive cross-sectional imaging methods strongly correlated with the different gross pathologic types of gallbladder carcinoma. The most common observed type was a mass replacing the gallbladder (39%). Other types observed either by sonography and/or CT were a focal/diffuse gallbladder wall thickening and the presence of an intraluminal polypoid mass. Despite the improvement in several imaging modalities, most of the preoperatively diagnosed gallbladder carcinomas were in advanced stage (84%). A combined approach using noninvasive diagnostic methods and percutaneous aspirative biopsies may reduce the number of explorative laparotomies in the final diagnosis of gallbladder carcinoma.
回顾了一大组经证实患有胆囊癌的患者所采用的不同诊断成像方式[胆管造影、超声检查和计算机断层扫描（CT）]。非侵入性横断面成像方法与胆囊癌的不同大体病理类型密切相关。观察到的最常见类型是胆囊被肿块取代（39%）。通过超声检查和/或CT观察到的其他类型包括局灶性/弥漫性胆囊壁增厚和腔内息肉样肿块。尽管几种成像方式有所改进，但术前诊断出的大多数胆囊癌仍处于晚期（84%）。在胆囊癌的最终诊断中，采用非侵入性诊断方法和经皮抽吸活检的联合方法可能会减少探查性剖腹手术的数量。
