Murata I, Makiyama K, Funatsu S, Kubo K, Mizuta Y, Nishihata S, Imanishi T, Hara K, Nakamura N, Murase K
2nd Dept. of Internal Medicine, Nagasaki Univ. School of Med.
Gan No Rinsho. 1988 Jun;34(7):867-74.
In recent years, with the development of diagnostic procedures, the number of cases of early carcinoma of the gall bladder has been seen to gradually increase. In this paper, 8 cases of early gall bladder carcinoma have been evaluated, using a diagnostic approach. Cholecystolithiasis was the complication in 6 cases, and abdominal pain was seen as the most common symptom. Findings by various image diagnoses, such as ultrasonography, DIC, ERCP, and CT scan are described and discussed with a review of literature. Ultrasonography was considered to be the most useful tool for the detection and diagnosis of an early carcinoma of the gall bladder. A survey is thought to be required, involving the cases that have accumulated throughout the entire nation.
近年来,随着诊断方法的发展,早期胆囊癌病例数逐渐增多。本文采用一种诊断方法对8例早期胆囊癌进行了评估。6例伴有胆囊结石并发症,腹痛是最常见症状。描述并讨论了各种影像诊断方法(如超声、数字减影血管造影、内镜逆行胰胆管造影和CT扫描)的结果,并复习了相关文献。超声被认为是检测和诊断早期胆囊癌最有用的工具。认为有必要对全国积累的病例进行调查。