Xanthogranulomatous cholecystitis versus gallbladder cancer: Clinical differentiating factors

Junichi Yoshida, Kazuo Chijiiwa, Hideo Shimura, Koji Yamaguchi, Naoko Kinukawa, Hiroshi Honda, Masao Tanaka

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Xanthogranulomatous cholecystitis (XC) is occasionally difficult to differentiate from gallbladder cancer and mandates efforts to avoid extensive operations. We studied the clinical factors to differentiate XC from cancer. Subjects were a consecutive series of 10 patients with XC and 10 with carcinoma, all of whom radiologically showed thickened gallbladder walls. As opposed to cancer, XC was typified by invisible gallbladders on cholangiography (1), the presence of cholelithiasis (P = 0.01) (2), and, intraoperatively, an aspirate of pus or nothing (P < 0.01) (3). To diagnose XC against gallbladder cancer, (1) and (2) in combination and (3) demonstrated an accuracy of 82.4% and 85.0 per cent, respectively. Clinically, XC can be distinguished from gallbladder cancer by cholangiography, calculous findings, and a gallbladder aspirate of pus or nothing.

Original languageEnglish
Pages (from-to)367-371
Number of pages5
JournalAmerican Surgeon
Volume63
Issue number4
Publication statusPublished - Apr 19 1997

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Gallbladder Neoplasms
Gallbladder
Suppuration
Cholangiography
Cholelithiasis
Xanthogranulomatous cholecystitis
Neoplasms
Carcinoma

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Yoshida, J., Chijiiwa, K., Shimura, H., Yamaguchi, K., Kinukawa, N., Honda, H., & Tanaka, M. (1997). Xanthogranulomatous cholecystitis versus gallbladder cancer: Clinical differentiating factors. American Surgeon, 63(4), 367-371.

Xanthogranulomatous cholecystitis versus gallbladder cancer : Clinical differentiating factors. / Yoshida, Junichi; Chijiiwa, Kazuo; Shimura, Hideo; Yamaguchi, Koji; Kinukawa, Naoko; Honda, Hiroshi; Tanaka, Masao.

In: American Surgeon, Vol. 63, No. 4, 19.04.1997, p. 367-371.

Research output: Contribution to journalArticle

Yoshida, J, Chijiiwa, K, Shimura, H, Yamaguchi, K, Kinukawa, N, Honda, H & Tanaka, M 1997, 'Xanthogranulomatous cholecystitis versus gallbladder cancer: Clinical differentiating factors', American Surgeon, vol. 63, no. 4, pp. 367-371.
Yoshida J, Chijiiwa K, Shimura H, Yamaguchi K, Kinukawa N, Honda H et al. Xanthogranulomatous cholecystitis versus gallbladder cancer: Clinical differentiating factors. American Surgeon. 1997 Apr 19;63(4):367-371.
Yoshida, Junichi ; Chijiiwa, Kazuo ; Shimura, Hideo ; Yamaguchi, Koji ; Kinukawa, Naoko ; Honda, Hiroshi ; Tanaka, Masao. / Xanthogranulomatous cholecystitis versus gallbladder cancer : Clinical differentiating factors. In: American Surgeon. 1997 ; Vol. 63, No. 4. pp. 367-371.
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