Computed Tomography Diagnosis of Gallbladder Carcinoma
王至俊(J. J. Wang)；刁翠美(C. M. Tiu)；周宜宏(Y. H. Chou)；姜仁惠(J. H. Chiang)；王家槐(J. H. Wang)；楊建芳(C. F. Yang)；張遵(T. Chang)
|Volume or Term/Year and Month of Publication||
10卷2期（1985 / 06 / 01）
101 - 107
Gallbladder carcinoma is not common in the tumor of the gastrointestinal system. Conventional radiographic examination was not helpful and the pre-operative diagnosis is minute before the application of ultrasound and computed tomography in the medical field. We have collected 17 proved cases of gallbladder carcinoma in the recent three years, starting from December 1980 to March 1984 which we came across in the Veterans General Hospital. There are only three female patients and the age group ranged from 20 to 77 years with a mean age of 60.9. The CT scan appearance could be classified into four types which have been mentioned by other authors. There are four cases in type Ⅰ which consist of soft tissue mass in the gallbladder; three cases of type Ⅱ which consist of thickening of the gallbladder wall, indicating presence of infiltration of malignant cells; six cases of type Ⅲ which show the presence of a fungating mass inside the gallbladder lumen and finally three cases of type Ⅳ which is a combination of type. Ⅰand type Ⅲ. There are also other findings including liver metastasis (7 cases), biliary dilatation (6 cases) and localized lymph node enlargement (1 case).