Phillips G, Pochaczevsky R, Goodman J, Kumari S
J Clin Ultrasound. 1982 Oct;10(8):379-83. doi: 10.1002/jcu.1870100806.
Eleven cases of sonographically detected metastatic disease to the gallbladder are reported. This paper represents the first comprehensive review of the ultrasonographic findings in this not infrequently encountered disease process. Four distinctive sonographic diagnostic patterns have evolved and are described. The suspicion of metastatic tumors in the gallbladder should be raised, particularly in the presence of focal gallbladder wall thickening in association with nonshadowing intraluminal soft tissue masses. In contrast to primary carcinomas of the gallbladder, cholelithiasis usually is absent. The differential diagnosis, which includes various benign conditions of the gallbladder, is discussed.
本文报告了11例经超声检查发现的胆囊转移性疾病。本文首次对这种并非罕见的疾病过程中的超声检查结果进行了全面综述。已形成并描述了四种独特的超声诊断模式。应提高对胆囊转移性肿瘤的怀疑，特别是当出现局灶性胆囊壁增厚并伴有无回声的腔内软组织肿块时。与原发性胆囊癌不同，通常不存在胆结石。文中讨论了包括胆囊各种良性疾病在内的鉴别诊断。
