The Diagnosis of Spread of Gallbladder Carcinoma by ERCP, US and Endoscopic Ultrasonogram Tadasu Fuji 1 , Tsuyoshi Aibe 1 , Hideo Amano 1 , Takayoshi Noguchi 1 , Tetsuji Akiyama 1 1The First Department of Internal Medicine, Yamaguchi University, School of Medicine pp.535-540
Published Date 1987/5/25
DOI https://doi.org/10.11477/mf.1403112836
  • Abstract
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 Recently, the early diagnosis of gallbladder cancer has been often discussed in our country. However, the diagnosis of Ⅱb type of early gallbladder cancer has not yet been confirmed. On the other hand, the diagnosis of the spread of this disease is most important, because the choice of treatment method and the prognosis is best determined by the spread of the cancer.

 By ERCP and US findings, we have investigated retrospectively the spread of gallbladder cancer. ERCP and US were useful in the diagnosis of infiltration depth of cancer and cancer invasion of the biliary tract. However, the diagnosis of cancer invasion of the liver bed could not be clarified by ERCP or US.

 Endoscopic ultrasonogram (EUS), the most newly developed diagnostic method in our institution, has been able to demonstrate gallbladder lesions and gallbladder wall conditions more clearly than the other imaging diagnostic procedures. Therefore,EUS was highly appreciated as a method for diagnosing infiltration depth and spread of gallbladder cancer.

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