IMAGING FINDINGS IN GALL BLADDER CARCINOMA IN NORTHEASTERN THAILAND
Abstract
Early detection of gallbladder carcinoma is difficult. The objective of this study was to review the imaging findings that could be found in carcinoma of the gallbladder, as an attempt to identify more details, which might be helpful for future sooner diagnosis of this disease.
All imaging studies including US, CT and MRI of 21 patients with pathological proven carcinoma of gall bladder in 6-year-period. The patients were 15 women and 6 men, mean age 64 years. Abdominal pain was the most frequent presentation. Polypoid mass within gall bladder lumen was the most common finding; 83.3 % US, 75 %CT, followed by gallstones (41.6 %-US), focal wall thickening (33 %-US), lymphadenopathy (33 %-CT), liver invasion (25 %- CT), IHD dilatation (25 %-CT), and mass obscured gall bladder (8.3 %-US, 25%-CT).
CT is superior to US in identifying the extension of disease and tumor staging. But US is preferred as the first line of investigation. Various manifestations of gall bladder carcinoma will be presented. If the disease recognized and managed properly, the patient’s life MAY - AUG. 2003 Volume IX Number II expectancy will be improved.
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Levy AD, Murkata LA, Rohrmann CA. Gall bladder carcinoma:radiologic- pathologic correlation. Radiology 2001; 21:295-314.
Vatanasapt V, Martin N, Chindavijak, Sontipong S, Sriamporn S, Parkin DM, Ferlay J. editors. Cancer in Thailand 1988- 1991. IARC Technical Report No16, Cedex: 1993: 28-31.
Sae Chau P. Experience of study in pathology of gallbladder disease during 2 years period in Khon Kaen hospital. Khon Kaen Medical Journal 1998 ; 24 (2) : 104 - 114.
Dhiensiri T. Imaging of malignancy of the hepatobiliary system. Khon Kaen Medical Journal 1995; 19:1-11.
Deerasame S, Martin N, Sontipong S, et al. Cancer in Thailand 1992-1994; 2:134-135.
Eiamthong P, Unpunyo P. Ultrasonographic findings of gall bladder carcinoma. The Asean Journal of Radiology 2001; 7:1-14.
Caraga MT, Henson DE. Liver, gall bladder, extrahepatic bile ducts, and pancreas. Cancer supplement 1995; 75:171-190.
Teefey SA, Baron RL, Bigler SA. Sonography of the gall bladder, significance of striated (layered) thickening of the gall bladder wall. AJR 1991; 156: 945-953.
Ward EM, Fulcher AS, Pereles FS, Gore RM. Neoplasm of the gall bladder and biliary tract. In: Gore RM, Levine MS, eds : Text book of gastronintestinal radiology, second edition, Philadelphia ; W.B.Saunders company, 2000, 1360-1374.
Weiner SN, Koenigrberg M, Morehouse H. Sonography and computed tomography in the diagnosis of carcinoma of the gall bladder. AJR 1984; 142: 735-739.
Wibbenmeyer LA, Sharafuddi MAJA, Worverson MK, Heiberg EV, Wade TP, Shields JB. Sonographic diagnosis of unsus pected gall bladder cancer : imaging findings in comparison with benign gall bladder conditions. AJR 1995; 1169.
Yeh HC. Ultrasonography and CT of carcinoma of the gall bladder. Radiology 1979;133:167-173.
Tsuchiya Y. Early carcinoma of the gall bladder : Macroscopic features and US findings. Radiology 1991; 179:171-175.
Soiva M, Aro K, Pamilo M,Paivansalo M, Suramo I, Taavitasainen M.Ultrasonography in carcinoma of the gall bladder. Acta Radiol 1987; 28: 711-714.
Ruiz R, Teyssou H, Fernandez N, etal. Ultrasonic diagnosis of primary carcinoma of the gall bladder: a review of 16 cases. J Clin ultrasound 1980; 8:489-495.
Hederstrom D, Forsberg L. Ultrasonography in carcinoma of the gall bladder : diagnostic difficulties and pitfalls. Acta Radiol 1987; 28: 715- 718.
Shidoh N: CT findings of the small polypoid lesion of the gall bladder (2 cm of less PLG): differential between benign and malignant disease on unenhanced CT. Nippon Igaku Hoshasen Gakkai Zasshi 1996; 56(3): 102- 108.
So CB, Gibney RG, Scudamore CH. Carcinoma of the gall bladder : a risk associated with gall bladder preserving treatments for cholelithiasis. Radiology 1990; 174:127- 134.
Albores - Saavedra J, Alcantra -Vazquez, Cruz - Ortiz H, Herrera - Goepfert R. The precursor lesions of invasive gall bladder carcinoma: hyperplasia, atypical hyperplasia, and carcinoma in situ. Cancer 1980; 45:919- 927.
Elkins DB, Mairiang E, Sithithaworn P, Mairiang P, Chaiyakum J, Chamadol N, et al. Cross-sectional patterns of hepatobiliary abnormalities and possible precursor conditions of cholangiocarcinoma associated with opisthorchis viverrini infection in humans. Am J Trop Med Hyg 1996 ; 55 (3) :295-301
Chijiiwa K., Sumiyoshi K., Nakayama F. Impact of recent advances in hepatobiliary imaging techniques on the pre-operative diagnosis of carcinoma of the gall bladder. World J. Surg 1991; 15:322-327.
Onoyama H, Yamamato M, Takada M, Urakawa T, Ajiki T, Yamda I, et al. Diagnostic imaging of early gall bladder cancer : Retrospective study of 53 cases. World J. Surg.1999; 23: 708-712.
Bach AM, Loring LA, Hann LE, Illescas FF, Fong Y, Blumgart LH. Gall bladder cancer: can ultrasonography evaluate extent of disease. J ultrasound Med 1998; 17(5): 303- 309.
Haribhakti SP, Awasthi S, Pradeep R, Kapoor VK, Kaushik SP. Carcinoma gall bladder : atypical presentations and unusual associations. Trop Gastroenterol 1997; 18(1) : 32-34.
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