Shou C C, Chen Z H, Li X D, Wang X, Zhou X R
First Hospital, Zhejiang Medical University, Hangzhou.
Zhonghua Zhong Liu Za Zhi. 1987 Nov;9(6):454-6, 24.
Benign tumor and pseudotumor of the gallbladder are infrequently reported in our country. In this paper, 5 patients with benign tumor (3 tubular adenoma, 1 leiomyoma and 1 fibroma) and 35 pseudotumor (26 cholesterol polyps and 9 inflammatory polyps) of the gallbladder are presented. Most patients presented a typical clinical manifestation of chronic cholecystitis. Oral cholecystography gave a lower detection rate. B-ultrasonography was able to show the presence of neoplasm in the gallbladder (37/40). Correct diagnosis was established by operation and pathology. In this series, all patients were cured by cholecystectomy. The authors believe that, for the neoplasms detected by B-ultrasonography with definite clinical symptoms or with a diameter of more than 1.0 cm, cholecystectomy is indicated. For those older or weaker patients with milder symptoms or with neoplasms less than 1.0 cm in diameter, periodic B-ultrasonography follow-up is suggested.
我国胆囊良性肿瘤及假性肿瘤的报道较少。本文报告了5例胆囊良性肿瘤（3例管状腺瘤、1例平滑肌瘤和1例纤维瘤）及35例胆囊假性肿瘤（26例胆固醇息肉和9例炎性息肉）。多数患者表现为慢性胆囊炎的典型临床表现。口服胆囊造影的检出率较低。B超能够显示胆囊内肿物（37/40）。通过手术及病理明确诊断。本组所有患者均行胆囊切除术治愈。作者认为，对于B超检查发现且有明确临床症状或直径大于1.0cm的肿物，应行胆囊切除术。对于年龄较大、身体较弱、症状较轻或肿物直径小于1.0cm的患者，建议定期行B超随访。
