Nobusawa H, Hashimoto T, Munechika H, Soejima K, Seino N, Kurashita Y, Gokan T, Kushihashi T, Hishida T
Department of Radiology and First Pathology, Showa University School of Medicine.
Nihon Igaku Hoshasen Gakkai Zasshi. 1994 Dec 25;54(14):1359-67.
Mucinous carcinomas of the gallbladder are relatively uncommon. Their radiological findings have not been described previously. We describe the CT and US findings of mucinous carcinoma of the gallbladder in 3 cases. Tumors (thickened wall and/or intraluminal polypoid mass) showed hyperechogeneity or isoechogeneity on US and water density on CT. US clearly detected large polypoid lesions, but CT was unable to detect these lesions in 2 cases. Therefore, we stressed the discrepancy between the findings of US and CT. These features can be explained by the fact that a tumor containing a large amount of mucin produces a mass of near-water density in the gallbladder on CT. It is of value to know the radiological findings of these tumors because the diagnosis is easily missed by CT study alone.
胆囊黏液性癌相对少见。其放射学表现此前尚未见描述。我们描述了3例胆囊黏液性癌的CT和超声表现。肿瘤(增厚的壁和/或腔内息肉样肿物)在超声上表现为高回声或等回声,在CT上表现为水样密度。超声能清晰检测到较大的息肉样病变,但有2例CT未能检测到这些病变。因此,我们强调了超声和CT表现之间的差异。这些特征可以用以下事实来解释,即含有大量黏液的肿瘤在CT上于胆囊内产生接近水样密度的肿块。了解这些肿瘤的放射学表现很有价值,因为仅通过CT检查很容易漏诊。