Imaging of gallbladder carcinoma and its differential expression.docVIP

 PAGE \* MERGEFORMAT 8 Imaging of gallbladder carcinoma and its differential expression Clinical and pathological Gallbladder cancer (carcinoma of the gallbladder70% ~ 90% had adenocarcinoma, a small number of squamous cell carcinoma [1-2]. Gallbladder cancer incidence was significantly higher than men of women, cancer occurs in the bottom or neck of the gallbladder, often cholecystitis and cholelithiasis [3,5] .80% showed invasive growth, gallbladder wall thickening ring, 20% were papillary growth spurt of human gallbladder lumen [4,6]. tumor increases, may occupy the entire gallbladder, the formation of soft tissue mass, and a violation of the surrounding liver tissue. The major clinical manifestations were: persistent right upper quadrant pain, jaundice, weight loss, hepatomegaly and upper abdominal mass [5,7-8]. gallbladder cancer diagnosis is difficult, prone to misdiagnosis case, the diagnosis relies heavily on imaging studies, and clinical imaging commonly used in the diagnosis of X ray, ultrasound, CT, MRI, examination. Imaging X-ray examination: bile duct gallbladder violations, PTC irregular bile duct stricture, filling defects and bile duct obstruction. Angiography, advanced gallbladder cancer, can show cystic artery thickening, pressure shift, vascular invasion irregular, narrow, or occlusion. tumors seen in the tumor blood vessels and tumor stain. gallbladder imaging or ERCP can show irregular shape or a gallbladder filling defect within the gallbladder. Ultrasonography: B super show gallbladder carcinoma often has limitations wall thickening, nodular protrusions to the lumen and irregular, narrow cavity through the sound area. Advanced universal wall thickening, narrowing cysts in solid technology, lumpish echo, rough irregular wall, wall not only the entire wall can be made to the surrounding tissue infiltration. chronic cholecystitis often widespread thickening of the wall, the acute attack was the “double taxation”, caps