Ultrasonography in the diagnosis of gallbladder carcinoma.
Sonographic examination of the gallbladder (GB) was performed in 21.646 patients. A histopathologically documented gallbladder carcinoma (GBC) was present in 59 patients (0.27%). Five different sonographic patterns were revealed with differences in number of associated findings, echo pattern and correct preoperative diagnosis. The sonographic diagnosis was correct in 59% and retrospective diagnosis in 65%. Most of the sonographically detectable GBC were inoperable (90%). 15 fine-needle biopsies were positive in 100% and reduced the number of explorative laparotomies. The survival rate was 3 days to 4 years after the first sonographic examination.
Nilsson
P
P
Department of Diagnostic Radiology, Malmö General Hospital, University of Lund, Sweden.
Ekberg
O
O
Aspelin
P
P
Sigurjónsson
S V
SV
Genell
S
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001707:Biopsy, Needle; D002277:Carcinoma / Q000175:diagnosis* / Q000401:mortality / Q000473:pathology; D005260:Female; D005704:Gallbladder / Q000473:pathology; D005706:Gallbladder Neoplasms / Q000175:diagnosis* / Q000401:mortality / Q000473:pathology; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis / Q000556:secondary; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D014463:Ultrasonography