Giacinti I, Di Bello M G, Marzano P F, Maturo A, Di Matteo F M, Massidda D, Micacchi M, Petrassi P, Polla A, Palazzini G, Cappelletti F
Istituto di III Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi La Sapienza, Roma.
G Chir. 1997 Apr;18(4):229-31.
In the last 5 years 16 patients with cholecystosis were observed. In this period the most recent diagnostic and therapeutic techniques were used including ultrasound which allowed to diagnose 60% of adenomyomatosis, 33.3% of cholecystosis and 6.7% of gallbladder polyposis. In 6 cases a traditional open surgery cholecystectomy was performed, while the videolaparascopic approach was used in other 6 cases. Histologic examination always confirmed the preoperative diagnosis, however in one case a gallbladder cancer was histologically found; this case had been clinically diagnosed 9 years previously as adenomyomatosis. Therefore, our experience suggest, in agreement with others, that cholecystosis should be considered as a precancerous lesion.
在过去5年里，对16例胆囊病患者进行了观察。在此期间，采用了最新的诊断和治疗技术，包括超声检查，超声检查能够诊断出60%的腺肌增生症、33.3%的胆囊病和6.7%的胆囊息肉。6例患者接受了传统的开放性胆囊切除术，另外6例采用了电视腹腔镜手术方法。组织学检查总是证实术前诊断，但有1例组织学检查发现为胆囊癌；该病例9年前临床诊断为腺肌增生症。因此，与其他人的观点一致，我们的经验表明，胆囊病应被视为癌前病变。
