Misdiagnosis Reason of Primary Gallbladder Carcinoma (A Report of 48 Cases)
- VernacularTitle:原发性胆囊癌误诊原因分析(附48例报告)
- Author:
Zewu AN
- Publication Type:Journal Article
- Keywords:
Carcinoma;
Gallbladder;
Misdiagnosis;
Prevention
- From:
Journal of Chinese Physician
2001;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the reason of the misdiagnosis on carcinoma of gallbladder and to search the measure of prevention. Methods The clinical data of 91 cases of gallbladder carcinoma with misdiagnosis(from 1998 to 1999 operation) was retrospectively analyzed.Results There were 48(52.7%) patients who had been misdiagnosed before operation,major cause was gallbaldder other complication,of them,gallstones was commonest reason 26/54 cases,54.2%.The following misdignosed causes were the acute attack of chronic cholecystitis,gallbladder sandpaper and polypoid lesions of gallbadder.Conclusions On clinic,for those patients ⑴aged-women with chronic cholecystitis for a long term and their gallbladder become atrophy.⑵Local symptom aggravation and/or with complication of gastricism recently. ⑶Imaging inspections such as B ultrasongraphy or CT suggest that somatopleure of gallbladder intensified irreguarly or the cubic capacity of solely tuberculum in gallbladder expands obviously in short term. Prophylactic cholecystectomy should be perfomed,and dissect the sample of the gallbladder as routine operation,so it can elevate the precuse diagnosis rate on carcinoma of gallbladder.
