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Algorithmic approaches to the diagnosis of gallbladder intraluminal lesions on ultrasonography
Authors:Chia-Hung Wu  Yukun Luo  Xiang Fei  Yi-Hong Chou  Hong-Jen Chiou  Hsin-Kai Wang  Yi-Chen Lai  Yung-Hui Lin  Chui-Mei Tiu  Jane Wang
Institution:1. Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC;2. National Yang-Ming University, School of Medicine, Taipei, Taiwan, ROC;3. Ultrasound Department, The General Hospital of People''s Liberation Army, Beijing, China;4. Yuanpei University of Medical Technology, Hsinchu, Taiwan, ROC;5. Yee Zen Hospital, Taoyuan, Taiwan, ROC;6. Lo-Hsu Medical Foundation Lotung Poh-Ai Hospital, Yilan, Taiwan, ROC
Abstract:Ultrasound is a frequently used diagnostic tool for gallbladder diseases. Polypoid lesions are commonly depicted at routine abdominal ultrasonography (US). The characteristics of these lesions vary. Since most early malignant tumors in the gallbladder are asymptomatic, differentiation between malignancy and benignity is crucial. Knowledge of gallbladder polypoid lesions is important so that they can be appropriately included in the differential diagnosis in patients presenting with intra-gallbladder nodules on US. This article summarizes the algorithmic approach to the diagnosis of these lesions and our recent experience with contrast-enhanced US. The clinical and imaging features of gallbladder polypoid lesions are reviewed.
Keywords:Adenocarcinoma  Gallbladder  Polypoid lesions  Pseudotumors  Ultrasound
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