Item type |
デフォルトアイテムタイプ(フル)(1) |
公開日 |
2010-07-02 |
タイトル |
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タイトル |
[症例報告]Xanthogranulomatous cholecystitis mimicking carcinoma of the gallbladder : Report of four cases |
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言語 |
ja |
作成者 |
Isa, Tsutomu
Miyazato, Hiroshi
Shimoji, Hideaki
Kusano, Toshiomi
Muto, Yoshihiro
Yamauchi, Kazuo
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アクセス権 |
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アクセス権 |
open access |
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アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
権利情報 |
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言語 |
ja |
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権利情報 |
琉球医学会 |
主題 |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Xanthogranulomatous cholecystitis |
主題 |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Carcinoma of the gallbladder |
内容記述 |
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内容記述タイプ |
Other |
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内容記述 |
We herein present four cases of xanthogranulomatous cholecystitis (XGC) that involved the adjacent structures and clinically mimicked carcinoma of the gallbladder (diffuse-infiltrating type). The patients consisted of two males and two females, with a mean age of 64.5 years (range, 51 to 77 years). Three of them had an episode of acute cholecystitis one to five months before the operation. An elevation of CA19-9 and Span-1 was recognized in one case. Gallstones were present in all cases with a thickening of the gallbladder wall on either ultrasonography (US) or computed tomography (CT). Furthermore, three cases revealed either intramural hyperechoic spots or comet-like echoes on US. Three cases were erroneously diagnosed as carcinoma based on the operative findings and underwent a cholecystectomy with a partial hepatic resection of the gallbladder bed and/or a resection of the surrounding structures involved. In the remaining case, an intraoperative pathological study revealed chronic inflammation without malignancy and a cholecystectomy was thus performed. The resected gallbladders histologically revealed many granulomas (abundant pigment-laden foamy histiocytes, fibroblasts and inflammatory cells) which extended to the liver and/or colon. Therefore, in such a situation, an intraoperative pathological study is recommended in order to avoid any excessive and unnecessary surgery when determining the optimal method of treatment. |
内容記述 |
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内容記述タイプ |
Other |
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内容記述 |
論文 |
出版者 |
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言語 |
ja |
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出版者 |
琉球医学会 |
出版者 |
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言語 |
en |
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出版者 |
Ryukyu Medical Association |
言語 |
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言語 |
eng |
資源タイプ |
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資源タイプ |
journal article |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
出版タイプ |
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出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
収録物識別子 |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
1346888X |
収録物識別子 |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
0289-1530 |
収録物識別子 |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AN10369445 |
収録物名 |
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言語 |
ja |
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収録物名 |
琉球医学会誌 = Ryukyu Medical Journal |
書誌情報 |
巻 20,
号 1,
p. 25-29
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