Diagnosis of gallbladder carcinoma

By | April 11, 2012

Diagnosis of gallbladder without specific clinical manifestations method, but has not yet found specific serum markers gallbladder to establish diagnosis mainly depends on Imageology check.
1. B-ultrasound is a simple, noninvasive, inexpensive, etc., is the first choice diagnosis of gallbladder carcinoma, the accuracy rate of 80% of gallbladder wall can be displayed irregular mass protruding to the lumen, gallbladder wall height uniform thickening, or clumps of normal gallbladder structure was replaced by the substantive. In addition also in B-guided percutaneous transhepatic gallbladder puncture the gallbladder wall and bile cytology and imaging, found some value in early gallbladder cancer.
2.CT scan can more clearly show the wall of the gallbladder or cystic soft tissue shadow, irregular enhancement was enhanced, but also showed liver metastases and invasion and spread around the scope of the selection of treatment and prognosis of reference value.
3. Magnetic resonance imaging (MRI) can show the signal area and gallbladder lesions around the infiltration of the gallbladder, with CT meaning similar, but increasingly widely used in recent magnetic resonance imaging bile membrane (MRCP) can be clearly demonstrated by the bile duct system is invasion and its location, extent and scope of the judge and determine the course of the disease have significant therapeutic value.
4. Laparoscopic gallbladder morphology can be directly observed, serosal invasion and the surrounding violations of early diagnosis of small, but can reduce unnecessary surgery in patients with advanced exploration rate.
Gallbladder cancer diagnosis, 5. Other endoscopic retrograde cholangiopancreatography films (ERCP) and percutaneous transhepatic cholangiography (PrC) of gallbladder disease associated with yellow bile duct involvement may clear the situation, and also catheter drainage to remove the obstruction; angiography can show the tumor blood vessels, tumor stain, and even found early gallbladder; percutaneous endoscopic examination of gallbladder lesions can be directly observed and took biopsy. Despite the increasing development of gallbladder cancer diagnostic technology, but more important is that physicians and patients to recognize the possibility of cancer and in the timely diagnosis and treatment.

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