Adenomyomatosis of the Gallbladder: A Case Report

膽囊腺肌瘤病

張保欽(Bao-Chiien Chang) ； 楊東和(Ton-Ho Young) ； 李偉華(Wei-Hwa Lee)

《Journal of Medical Sciences》 16卷5期 (1996/04) Pp. 319-325

摘要

本文主要是提出一臨床少見病例一膽囊腺肌瘤病，其臨床表現類似慢性膽囊炎。經由腹部超音波檢查，見膽囊壁增厚，即可高度懷疑為膽囊腺肌瘤病。若進一步做膽囊縱切之電腦斷層掃描，不僅可提高正確的診斷率，更可將該病細分為：分節（segmental type），基底（fundal type），以及擴散（diffuse type）三種解剖類型。本病例接受膽囊切除，經病理最後診斷為擴散型膽囊腺肌瘤病。術後，病人症狀消除，並於門診追蹤兩個月，臨床上無重要發現。由於逐漸有文獻報告膽囊腺肌瘤病與膽囊癌的相關性，其治療仍以早期切除為主。

關鍵字

膽囊腺肌瘤病 ； 電腦斷層掃描

並列摘要

We report on an uncommon case of diffuse type of adenomyomatosis of the gallbladder. It was initially suspected by ultrasonography and further confirmed by computed tomography (CT) and pathological examination. The patient received a cholecystectomy. The pathologic report showed specific changes of adenomyomatosis corresponding to the finding on the CT scan. No evidence of malignancy is found in the diffuse type of adenomyomatosis of the gallbladder. Although only segmental type of adenomyomatosis of gallbladder has been reported to be related to gallbladder carcinoma recently, the other two types (diffuse & fundal) with cholecystectomy should be checked and followed up carefully.

並列關鍵字

adenomyomatosis of gallbladder ； computed tomography