Ruiz R, Teyssou H, Carrez J P, Gortchakoff M, Manteau G, Ter-Davtian P, Tessier J P
J Radiol. 1980 Apr;61(4):227-33.
Primary cancer of gallbladder was detected by ultrasonography in 16 patients (10 women, 6 men), and confirmed at operation. Two main types of lesion were found: 8 localized forms (infiltrating or vegetating), and 8 diffuse forms with infiltration of the gallbladder wall. The lesion was an adenocarcinoma in each case, and there was associated lithiasis in 11 patients. Extension by contiguity or metastases is independent of the size of the cancer. Problems related to etiological and differential diagnosis of these lesions are discussed in relation to the different ultrasonography appearances observed.
通过超声检查在16例患者（10名女性，6名男性）中检测出原发性胆囊癌，并经手术确诊。发现两种主要病变类型：8例局限性病变（浸润性或赘生性），8例弥漫性病变伴胆囊壁浸润。所有病例的病变均为腺癌，11例患者伴有结石。癌灶的连续性扩展或转移与肿瘤大小无关。结合观察到的不同超声表现，讨论了这些病变的病因及鉴别诊断相关问题。
