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 language | English |
|---|---|
| Pages (from-to) | 367-371 |
| Number of pages | 5 |
| Journal | American Surgeon |
| Volume | 63 |
| Issue number | 4 |
| Publication status | Published - Apr 19 1997 |
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All Science Journal Classification (ASJC) codes
- Surgery
Cite this
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 journal › Article
}
TY - JOUR
T1 - Xanthogranulomatous cholecystitis versus gallbladder cancer
T2 - Clinical differentiating factors
AU - Yoshida, Junichi
AU - Chijiiwa, Kazuo
AU - Shimura, Hideo
AU - Yamaguchi, Koji
AU - Kinukawa, Naoko
AU - Honda, Hiroshi
AU - Tanaka, Masao
PY - 1997/4/19
Y1 - 1997/4/19
N2 - 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.
AB - 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.
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M3 - Article
C2 - 9124762
AN - SCOPUS:0031000026
VL - 63
SP - 367
EP - 371
JO - American Surgeon
JF - American Surgeon
SN - 0003-1348
IS - 4
ER -