Laboratory examination of gallbladder

By | December 26, 2011

Laboratory tests for early diagnosis of gallbladder cancer is not meaningful. Oral gallbladder contrast agents do not develop more than 85%, only 1 – 2% can have positive signs and in some cases X-ray found "porcelain gallbladder" is to have diagnostic significance. Gallbladder laboratory examination methods are:
1. Gallbladder biochemical
(1) blood count: white blood cells can be showed increased neutrophils increased in some cases decreased red blood cells and hemoglobin.
(2) ESR: faster.
(3) blood biochemistry: some patients bilirubin, cholesterol, alkaline phosphatase increased.
(4) ascites General: can was bloody.
2. Gallbladder imaging
(1) gallbladder imaging: through oral law, law retrograde cholangiography showed the gallbladder membranes. If the shadow of the gallbladder bile showed incomplete. Stones filling a cavity may have the shadow of the diagnosis of a certain value.
(2) B-ultrasound z can be found in the gallbladder bright group, silent video, or gallbladder wall thickening and rules of hypoechoic areas can sometimes be found in the liver B-turn is a better way early detection of gallbladder carcinoma.
(3) CT examination z to display the lesions of gallbladder stones with or without video. Diagnostic accuracy rate of about 70%;
3. Gallbladder pathology
Surgical exploration in the pathological specimens, gill biopsy for pathological diagnosis, confirmed that the gallbladder wall fishy paracentesis biopsy taken for cytology, cancer diagnostic accuracy was 85%.
4. Gallbladder tests performed laparoscopy in the fiber
Uneven surface of the gallbladder can be seen, with the knots oath, loss of normal luster, gallbladder enlargement, or stick around the area will be enlarged lymph nodes with metastasis, but the gallbladder biopsy, while not often observed around the adhesive in this way has limitations.

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