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超声造影在胆囊鳞状细胞癌中的应用：1例报告

Application of contrast-enhanced ultrasonography for gallbladder squamous cell carcinoma: a case report.

作者信息

Ruan Liqin, Wu Xiaoyong, Peng Guiping, Zhang Jing, Chen Weili

机构信息

Department of Hepatobiliary Surgery, Jiujiang City Key Laboratory of Cell Therapy, Jiujiang No.1 People's Hospital Jiujiang, Jiujiang, Jiangxi, China.

Department of Ultrasound, Jiujiang City Key Laboratory of Cell Therapy, Jiujiang No.1 People's Hospital Jiujiang, Jiujiang, Jiangxi, China.

出版信息

Front Oncol. 2024 Dec 11;14:1502226. doi: 10.3389/fonc.2024.1502226. eCollection 2024.

DOI:10.3389/fonc.2024.1502226
PMID:39723365
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11668673/
Abstract

Preoperative diagnosis of Gallbladder squamous cell carcinoma (GBSCC) is difficult, and the contrast-enhanced ultrasound (CEUS) pattern has never been reported before. We present a case of GBSCC where CEUS revealed special findings that facilitated early diagnosis. CEUS demonstrated irregular peripheral ring-like enhancement during the arterial phase, with hypoenhancement in the late phases, and an irregular non-enhancing area persistently present in the center of the lesion.

摘要

胆囊鳞状细胞癌（GBSCC）的术前诊断较为困难，且对比增强超声（CEUS）表现此前从未有过报道。我们报告一例GBSCC病例，其CEUS显示出有助于早期诊断的特殊表现。CEUS显示在动脉期有不规则的周边环状强化，延迟期强化减弱，且病变中心持续存在不规则的无强化区域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c67/11668673/e9629e03246c/fonc-14-1502226-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c67/11668673/486c33e31e40/fonc-14-1502226-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c67/11668673/eeccb6ba9ea3/fonc-14-1502226-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c67/11668673/dfb6b83c717f/fonc-14-1502226-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c67/11668673/e9629e03246c/fonc-14-1502226-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c67/11668673/486c33e31e40/fonc-14-1502226-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c67/11668673/eeccb6ba9ea3/fonc-14-1502226-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c67/11668673/dfb6b83c717f/fonc-14-1502226-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c67/11668673/e9629e03246c/fonc-14-1502226-g004.jpg

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本文引用的文献

1
Clinical Characteristics and Outcome Between Gallbladder Squamous Cell Carcinoma and Adenocarcinoma: A Propensity Matched Analysis Based on the Surveillance, Epidemiology, and End Results Database.胆囊鳞状细胞癌与腺癌的临床特征及预后：基于监测、流行病学和最终结果数据库的倾向匹配分析
Front Oncol. 2022 May 2;12:833447. doi: 10.3389/fonc.2022.833447. eCollection 2022.
2
Systematic review of squamous cell carcinoma of the gallbladder.胆囊鳞状细胞癌的系统评价。
3
Xanthogranulomatous cholecystitis mimicking advanced gallbladder carcinoma - Analysis of 8 cases.
黄色肉芽肿性胆囊炎误诊为晚期胆囊癌 8 例分析。
J Cancer Res Ther. 2021 Jul-Sep;17(4):969-975. doi: 10.4103/jcrt.JCRT_1180_19.
4
[A Case of Xanthogranulomatous Cholecystitis That Is Difficult to Distinguish from Advanced Gallbladder Cancer with Invasion of the Transverse Colon].[一例难以与侵犯横结肠的进展期胆囊癌相鉴别的黄色肉芽肿性胆囊炎]
Gan To Kagaku Ryoho. 2021 Jan;48(1):85-87.
5
Cancer Statistics, 2021.癌症统计数据，2021.
CA Cancer J Clin. 2021 Jan;71(1):7-33. doi: 10.3322/caac.21654. Epub 2021 Jan 12.
6
Performance of contrast-enhanced ultrasound (CEUS) compared to MRI in the diagnostic of gallbladder diseases.对比增强超声（CEUS）与 MRI 在胆囊疾病诊断中的性能比较。
Clin Hemorheol Microcirc. 2019;73(1):85-93. doi: 10.3233/CH-199202.
7
Application of contrast enhanced ultrasound in gallbladder lesion: is it helpful to improve the diagnostic capabilities?超声造影在胆囊病变中的应用：对提高诊断能力有帮助吗？
Med Ultrason. 2018 Dec 8;20(4):420-426. doi: 10.11152/mu-1626.
8
Clinicopathological characteristics and outcomes of rare histologic subtypes of gallbladder cancer over two decades: A population-based study.二十多年来胆囊癌罕见组织学亚型的临床病理特征和结局：一项基于人群的研究。
PLoS One. 2018 Jun 11;13(6):e0198809. doi: 10.1371/journal.pone.0198809. eCollection 2018.
9
CEUS in the differential diagnosis between biliary sludge, benign lesions and malignant lesions.对比增强超声在胆泥、良性病变与恶性病变鉴别诊断中的应用
J Ultrasound. 2018 Jun;21(2):119-126. doi: 10.1007/s40477-018-0286-5. Epub 2018 Feb 23.
10
Contrast-enhanced ultrasonography improves the diagnostic specificity for gallbladder-confined focal tumors.对比增强超声提高了胆囊局限性局灶性肿瘤的诊断特异性。
Abdom Radiol (NY). 2018 May;43(5):1134-1142. doi: 10.1007/s00261-017-1268-3.