Koga A, Yamauchi S, Izumi Y, Hamanaka N
Br J Surg. 1985 Sep;72(9):728-30. doi: 10.1002/bjs.1800720919.
Five patients with early carcinoma of the gallbladder detected by ultrasonography were studied. Three complained of non-specific upper abdominal symptoms or were asymptomatic and two had severe biliary colic. Gallstones were present in the two patients without biliary symptoms. Early carcinoma of the gallbladder was demonstrated as a polypoid tumour by ultrasound in four patients and as thickening of the gallbladder wall in one. The tumour was over 2 cm in diameter in all but one patient in whom the tumour enlarged rapidly from 5 to 10 mm. Size of the tumour and extent of spread were closely related. All but one patient underwent curative resection. Ultrasonography enhances the detection of early carcinoma of the gallbladder especially in old patients with non-specific abdominal symptoms and the operative cure rate is thereby improved.
对5例经超声检查发现的早期胆囊癌患者进行了研究。3例患者有非特异性上腹部症状或无症状，2例有严重胆绞痛。2例无胆道症状的患者存在胆结石。超声检查显示，4例患者的早期胆囊癌表现为息肉样肿瘤，1例表现为胆囊壁增厚。除1例患者肿瘤从5毫米迅速增大到10毫米外，所有患者肿瘤直径均超过2厘米。肿瘤大小与扩散程度密切相关。除1例患者外，所有患者均接受了根治性切除术。超声检查提高了早期胆囊癌的检出率，尤其是在有非特异性腹部症状的老年患者中，从而提高了手术治愈率。
