Ultrasound Diagnosis and Differential Diagnosis of Gallbladder Carcinoma_West China Medical Journal

Authors：

 ZHANGShu-ping ¹ , DAIJia-ping ² ,  LIZhao-xia ³

1. Department of Gastroenterology, Yibin First People's Hospital, Yibin, Sichuan 644000 P. R. China;
2. Department of Anatomy, Yibin Health College, Yibin, Sichuan 450000, P. R. China;
Department of Ultrasound, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LIZhao-xia, Email: lizichengdu@163.com

Keywords：

Gallbladder carcinoma; Ultrasound in diagnosis; Differential diagnosis

DOI：

10.7507/1002-0179.20140685

Video：

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Objective To evaluate the diagnostic value of ultrasound for gallbladder carcinoma (GA), in order to improve the ability of early ultrasonic and clinical diagnosis of GA. Methods We analyzed and compared the clinical data and ultrasonic results of 42 GA cases confirmed by surgery and pathology between January 2008 and December 2013, and summarized the classification, ultrasonographic features, and diagnosis of GA. Results Among the 42 cases, 25 were correctly diagnosed by ultrasound (59.5%), among which 9 were thick-wall type, 11 were protrusion type and 5 were solid type. Seventeen cases were misdiagnosed (40.5%). Pathological results showed 14 cases of highly-differentiated adenocarcinoma, 16 of moderately differentiaed adenocarcinoma, 9 of poorly-differentiated adenocarcinoma, 2 of squamous adenocarcinoma and 1 of neuroendocrine carcinoma. Conclusion Ultrasound is the preferred method for the diagnosis of GA because of its convenience, although the diagnostic accuracy is still not good and more efforts should be done.

Citation： ZHANGShu-ping, DAIJia-ping, LIZhao-xia. Ultrasound Diagnosis and Differential Diagnosis of Gallbladder Carcinoma. West China Medical Journal, 2014, 29(12): 2267-2270. doi: 10.7507/1002-0179.20140685 Copy

1.	郑浩. 胆囊癌的CT与B超诊断价值[J]. 医学综述, 2009, 15(2):307-309.
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11.	杨田, 孙经建. 黄色肉芽肿性胆囊炎与胆囊癌的临床鉴别[J]. 国际外科学杂志, 2006, 33(5):338-341.
12.	戎海仁. 胆囊癌的超声特点及误漏诊原因分析[J]. 临床医药实践, 2010, 19(15):629-630.
13.	金秋龙, 郭建锋. 黄敏, 等. 原发性胆囊癌的超声诊断及漏误诊分析[J]. 临床和实验医学杂志, 2009, 8(9):44-45.
14.	史永平, 宗明. 胆囊癌的临床病理特征与预后关系分析[J]. 中华临床医师杂志·电子版, 2013, 7(11):4734-4738.
15.	张阳, 兰勇, 牟永华. 原发性胆囊癌诊治进展[J]. 肝胆胰外科杂志, 2013, 25(1):86-88.

1. 郑浩. 胆囊癌的CT与B超诊断价值[J]. 医学综述, 2009, 15(2):307-309.
2. 石景森. 胆囊结石与胆囊癌[J]. 中国实用外科杂志, 1995, 15(1):12-14.
3. 黄加国, 尚延生. 胆囊结石与胆囊癌局部浸润相关性的临床研究[J]. 中国现代医学杂志, 2014, 24(29):80-82.
4. 蒋兆彦, 韩天权, 张圣道. 对胆囊结石导致胆囊癌发病的认识[J]. 中国实用外科杂志, 2013, 31(3):202-204.
5. 方捷迪, 易慕华, 杨巧蓉, 等. 胆囊癌5例临床病理分析[J]. 现代医药卫生, 2011, 27(21):3289-3290.
6. 李东迂, 苏继荣. 胆囊癌病因的研究现状与进展[J]. 中国现代药物应用, 2013, 7(21):218-220.
7. 李彦娟, 胡向东, 冯彦红, 等. 超声对胆囊癌的诊断价值[J]. 中华医学超声杂志·电子版, 2011, 8(9):1952-1957.
8. 冯彦红, 钱林学. 超声在胆囊癌诊断中的应用价值[J]. 中国肿瘤影像学, 2009, 2(5):74-77.
9. 董建党, 周玫娟. 彩超在胆囊癌诊断中的应用[J]. 中国社区医师·医学专业, 2012, 14(8):260.
10. 陈亚进. 胆囊的解剖学特点及胆囊癌浸润转移途径[J]. 中国实用外科杂志, 2011, 31(3):207-209.
11. 杨田, 孙经建. 黄色肉芽肿性胆囊炎与胆囊癌的临床鉴别[J]. 国际外科学杂志, 2006, 33(5):338-341.
12. 戎海仁. 胆囊癌的超声特点及误漏诊原因分析[J]. 临床医药实践, 2010, 19(15):629-630.
13. 金秋龙, 郭建锋. 黄敏, 等. 原发性胆囊癌的超声诊断及漏误诊分析[J]. 临床和实验医学杂志, 2009, 8(9):44-45.
14. 史永平, 宗明. 胆囊癌的临床病理特征与预后关系分析[J]. 中华临床医师杂志·电子版, 2013, 7(11):4734-4738.
15. 张阳, 兰勇, 牟永华. 原发性胆囊癌诊治进展[J]. 肝胆胰外科杂志, 2013, 25(1):86-88.

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West China Medical Journal

Ultrasound Diagnosis and Differential Diagnosis of Gallbladder Carcinoma

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