Thakrar Reena, Monib Sherif, Pakdemirli Emre, Thomson Simon
General Surgery Department, West Hertfordshire Hospitals NHS Trust, UK.
Radiology Department, West Hertfordshire Hospitals NHS Trust, UK.
J Surg Case Rep. 2019 Mar 22;2019(3):rjz069. doi: 10.1093/jscr/rjz069. eCollection 2019 Mar.
A case of a newly diagnosed calcified gallbladder cancer is presented, who had pre-existing porcelain gallbladder. Due to the advanced stage of the disease at presentation, the patient had a poor outcome. The investigation and management of gallbladder carcinoma is discussed as well as the relationship with porcelain gallbladder. We conclude that there is only a weak association between porcelain gallbladder and gallbladder cancer, but because gallbladder cancer typically presents late, a stratified approach to offering cholecystectomy to asymptomatic porcelain gallbladder is reasonable.
本文报告一例新诊断的钙化性胆囊癌病例,该患者既往有瓷化胆囊。由于就诊时疾病已处于晚期,患者预后较差。本文讨论了胆囊癌的检查和治疗以及与瓷化胆囊的关系。我们得出结论,瓷化胆囊与胆囊癌之间仅有微弱关联,但由于胆囊癌通常出现较晚,对于无症状瓷化胆囊患者采用分层方法提供胆囊切除术是合理的。