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Present Status and Some Problems in Diagnosis of Gallbladder Carcinoma: From the Clinical Standpoint of All-round Diagnostic Imaging Kiyoshi Okamura 1 , Syunji Kitazawa 1 , Yoshi Shibata 1 , Masayoshi Namiki 1 1The Third Department of Internal Medicine, Asahikawa Medical College pp.523-533
Published Date 1987/5/25
DOI https://doi.org/10.11477/mf.1403112835
  • Abstract
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 Based on our experience of 30 cases with gallbladder carcinoma in the past eight years, the present status of the art of diagnosis, and some problems in diagnosis of gallbladder carcinoma were pointed out.

 Clinical features were documented in terms of depth of cancerous invasion and resectability, respectively. Serum CEA levels were higher in advanced or unresected cases than in early or resected cases. Findings obtained from diagnostic imaging including US, CT and cholangiography were classified according to their respective patterns. Stages of disease-progress were decided according to those findings. Final assessment was carried out using operation or autopsy findings. Correlation between resectability and the stages of the cancer was analyzed and discussed in detail. Prospects for the future were also described. Establishment of two different systems should be mandatory in order to detect gallbladder carcinoma earlier. One would involve the use of further evaluation systems, e.g. EUS and PTCCS and so on. The other would be mass survey using ultrasonic technology. The importance of the early establishment of the latter mass-survey system was emphasized.


Copyright © 1987, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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