原发性胆囊癌的CT诊断(附56例报告)

目的：研究胆囊癌的CT诊断。资料和方法：对照病理回顾分析56例胆囊癌的CT表现。结果:胆囊壁不规则增厚32％；胆囊腔内结节21％；胆囊区肿块46％；肝侵犯52％；胆管扩张53％；胆结石27％；淋巴转移34％。结论：1、胆囊癌CT分型为厚壁型、腔内结节型、肿块型，各型为病理发展中不同的阶段。2、直接侵犯肝脏及胆管受侵扩散为胆囊癌主要转移方式。3、CT对诊断中晚期胆囊癌及判断浸润范围有价值，尤其是增强扫描。

CT Diagnosis of Primary Gallbladder Carcinoma (Reports 56 Cases)

Purpose: To study the diagnosis of gallbladder carcinoma. Materials and Methods: The CT finding of 56 cases with pathologically provened gallbladder carcinoma were retrospective and analysed. Results: gallbladder wall irregulargy thickened 32%, a mass protruding into the gallbladder 21 %, a mass in the galldladder fossa filling or replacing the gallbladder 46%, direct liver invasion 52%, associated gall stones 27%, Lymph node matastases 34%. Conclusion: (1) Gallbladder carcinoma divided into there gross patterns: gallbladder wall thickness; a mass protruding into the gallbladder; a mass in the gallbladder fossa. these are the various cases of disease. (2) The mainly metastatic manner: direct invasion of the liver by tumor and the spread of tumor along bile ducts . (3) CT is valuable to diagnose and determine the extent of invasion of the gallbladder carcinoma in the middle and later stage.