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Clinicopathological features of gallbladder cancer with adenomyomatosis
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- Kin Toshifumi
- Center for Gastroenterology, Teine-Keijinkai Hospital
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- Maguchi Hiroyuki
- Center for Gastroenterology, Teine-Keijinkai Hospital
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- Takahashi Kuniyuki
- Center for Gastroenterology, Teine-Keijinkai Hospital
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- Katanuma Akio
- Center for Gastroenterology, Teine-Keijinkai Hospital
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- Osanai Manabu
- Center for Gastroenterology, Teine-Keijinkai Hospital
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- Yane Kei
- Center for Gastroenterology, Teine-Keijinkai Hospital
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- Takaki Ryo
- Center for Gastroenterology, Teine-Keijinkai Hospital
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- Matsumoto Kazuyuki
- Center for Gastroenterology, Teine-Keijinkai Hospital
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- Matsumori Tomoaki
- Center for Gastroenterology, Teine-Keijinkai Hospital
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- Gon Katsushige
- Center for Gastroenterology, Teine-Keijinkai Hospital
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- Ambo Yoshiyasu
- Department of Surgery, Teine-Keijinkai Hospital
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- Shinohara Toshiya
- Department of Pathology, Teine-Keijinkai Hospital
Bibliographic Information
- Other Title
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- 胆嚢腺筋腫症合併胆嚢癌の特徴
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Description
We evaluated clinical, pathological, and imaging features of the gallbladder cancer (GC) with adenomyomatosis (ADM). Eleven GC patients who received surgical treatment were with ADM. Their ADM type were fundal type (F type) in 5 and segmental type (S type) in 6. GCs with F type ADM occurred from the mucosa above ADM, excepted in one case in which cancer was speculated to arise from Rokitanski-Aschoff sinus. GCs with S type ADM were spread widely across the mucosa above ADM of the neck side to the fundal side, and gallbladder stones were found in those cases. Six (55%) of the 11 GC patients with ADM were appropriately diagnosed preoperatively, and imaging studies of their cases revealed elevated lesions on the surface of ADM in the early stage GC and irregular gallbladder wall thickening in the advanced stage. GC with ADM arose from the mucosa above ADM in F type, and from the mucosa above neck/body side ADM and those at fundal part of ADM in S type. Therefore, detailed imaging evaluation of the surface of ADM is important. Cases of S type ADM with gallbladder stones may be treated with surgical resection due to difficult diagnosis of GC by imaging study.
Journal
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- Tando
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Tando 28 (4), 633-640, 2014
Japan Biliary Association
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Details 詳細情報について
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- CRID
- 1390282679325263872
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- NII Article ID
- 130004838907
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- ISSN
- 18836879
- 09140077
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
- Crossref
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- Abstract License Flag
- Disallowed