書誌事項
- タイトル別名
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- Xanthogranulomatous Cholecystitis Mimicking Nodular Invasive Gallbladder Cancer. A Case Report and a Review of Our Cases Involving Previous Three Cases.
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A 74-year-old man was admitted to the hospital because of epigastric pain. Ultrasound revealed an elevated lesion and stones on the fundus of gallbladder. Laparoscopic cholecystectomy was scheduled and initiated, when gallbladder cancer was suspected by laparoscopic findings. So we decided to suspend the operation and a two-step approach was employed. Abdominal CT scan and magnetic resonance imaging revealed thickening of the gallbladder wall and an elevated lesion protruding to the lumen. With a diagnosis of nodular invasive gallbladder cancer, a cholecystectomy, segmentectomies for S4a and S5, a resection of extrahepatic bile duct and lymph nodes disection (D2) were carried out. Resected material disclosed that the gallbladder wall thickened at the fundus and the stones strongly adhered to the wall. Histopathologically, xanthogranulomatous cholangitis (XGC) was revealed, and the stones connected with the gallbladder wall via necrosed tissue of ulcer and granulation tissue.<br>In a clinical study of our cases involving previous three cases, all cases had been diagnosed as gallbladder cancer preoperatively and underwent an extended surgery. The disease presents difficulty in differential diagnosis from gallbladder cancer on imagings, and there are cases of both diseases simultaneously. Accordingly, in instances in which gallbladder cancer is suspected, we must bear a possibility of the disease in mind and select carefully operative procedure.
収録刊行物
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- 日本臨床外科学会雑誌
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日本臨床外科学会雑誌 62 (5), 1274-1279, 2001
日本臨床外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204844556288
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- NII論文ID
- 130003602491
- 10008390373
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- NII書誌ID
- AA11189709
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- ISSN
- 18825133
- 13452843
- http://id.crossref.org/issn/13452843
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可