Benelli B, Borghetti M, Parziale M, Bertolotti P A, Montanari G, Maldotti M, Bonardi R, Reduzzi L, Abbiati C
Ospedale Maggiore di Crema, Servizio di Radiologia e Terapia Fisica.
Minerva Med. 1989 Mar;80(3):237-9.
The preoperative diagnosis of carcinoma of the gallbladder is very difficult because the clinical manifestations of this disease are nonspecific and often indistinguishable from those of cholecystitis. Radiography, including oral cholecystograms and i.v. cholangiograms, give aspecific findings. Ultrasound scans were performed on 13 gallbladder carcinomas: only "massive" cancer was diagnosed correctly, because sonography does not offer specific patterns for "infiltrating" and "fungating" carcinomas.
胆囊癌的术前诊断非常困难,因为这种疾病的临床表现不具有特异性,常常与胆囊炎的表现难以区分。放射学检查,包括口服胆囊造影和静脉胆管造影,结果均不具特异性。对13例胆囊癌患者进行了超声扫描:只有“肿块型”癌症被正确诊断,因为超声检查无法为“浸润型”和“蕈伞型”癌症提供特异性图像。