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1胆囊腺肌瘤病的分型与影像学诊断进展显示文摘胆囊腺肌瘤病可分为弥漫型、节段型、局限型及混合型。影像学检查显示胆囊壁增厚并罗-阿窦形成是诊断本病的依据。胆囊造影、腹部B超、CT及MRI检查显示罗-阿窦的能力有别,这决定了上述影像检查对胆囊腺肌瘤病的诊断敏感性不同。靳二虎 马大庆 2007国外医学(临床放射学分册)2007,30,2:9
2Simultaneous breast and ovarian metastasis from gallbladder carcinoma显示文摘BACKGROUND:Gallbladder carcinoma is a common malignancy in the Indian subcontinent.It commonly metastasizes through lymphatics,direct invasion,and hematogenous spread.A common extra-abdominal site of metastasis is the lungs.Simultaneous metastasis to breast and ovary is extremely rare.METHOD:This report describes an unusual case of carcinoma gallbladder metastasizing to the breast and ovary at the same time.RESULTS:A 45-year-old woman came to us with complaints of flatulent dyspepsia associated with weight loss and anorexia.Ultrasound of the abdomen revealed hepatomegaly with thick-walled gallbladder with multiple stones and a mass at the fundus,but normal uterus and ovary.Contrast-enhanced computer tomography of the abdomen showed a gallbladder mass infiltrating the liver parenchyma.The patient underwent radical cholecystectomy.Histopathological examination revealed a poorly-differentiated adenocarcinoma with margins free from tumor infiltration.One month after surgery she developed a breast lump.Ultrasound of the abdomen for metastatic workup revealed an ovary mass.Simple mastectomy and salphingo-opherectomy were performed,and histopathological examination revealed a metastatic adenocarcinoma.The patient is now on chemotherapy with gemcitabin.CONCLUSION:This is an unusual case of carcinoma of the gallbladder with metastasis to the breast and ovary,which has not been documented before.Sanjay Singh Puneet Gupta Rahul Khanna Ajay K Khanna 2010Hepatobiliary & Pancreatic Diseases International2010,9,5:0
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