Author:
Hederström E.,Forsberg L.
Abstract
Gallbladder carcinoma (GBCA) is difficult to diagnose in its early stage by ultrasound (US) due to the non-specificity of various characteristics. In an investigation of 25 female patients (mean age 68.2 years) all with a histologic diagnosis of primary GBCA (adenocarcinoma) and a US examination prior to that, the correct diagnosis was only established in 11. The sensitivity was thus low (44%). The inability to differentiate GBCA from chronic cholecystitis (contracted gallbladder with stones) makes this US finding hazardous, and implicates a considerable risk of overlooking malignancy. A cholecystectomy without delay in these patients may lead to the discovery of further cases of GBCA in early stages.
Subject
Radiology, Nuclear Medicine and imaging,General Medicine,Radiological and Ultrasound Technology
Cited by
26 articles.
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