Porcelain Gallbladder

Shimizu, M; Miura, Jirou; Tanaka, Tetsuya; Itoh, Hiroyasu; Saitoh, Y

doi:10.1097/00004836-198908000-00027

Cited by 42 publications

(3 citation statements)

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“…19 In general, US findings are reported as complete or incomplete and have been classified into three types based on the extent and nature of calcification: type I is characterised by a hyperechoic semilunar structure with posterior acoustic shadowing; type II displays a curvilinear echogenic structure with acoustic shadowing; and type III is characterised by irregular clumps of echoes with posterior acoustic shadowing. 7,8,13,20 While type I corresponds to complete intramural calcification of the gallbladder, types II and III reflect the variations of selective mucosal calcification. 8,20 In some cases, flecks of mucosal calcification may not be detected during radiological examinations but are found only on pathology.…”

Section: Historical Perspectivementioning

confidence: 99%

“…7,8,13,20 While type I corresponds to complete intramural calcification of the gallbladder, types II and III reflect the variations of selective mucosal calcification. 8,20 In some cases, flecks of mucosal calcification may not be detected during radiological examinations but are found only on pathology. 1 Khan et al noted complete transmural and mucosal calcification in 69% and 23% of 13 patients with PGB, respectively.…”

Section: Historical Perspectivementioning

confidence: 99%

“…1,8,20 However a recent systematic review did not support the view that the depth of calcification is a predictor of malignancy; hence, this factor should not be used as an indicator of the risk of developing malignancy in the future. 2 Patient age, calcifications limited to a focal area of the gallbladder wall and the absence of stones or microcrystals within the gall bladder lumen were also not found to be a significant risk factors for gallbladder malignancy in PGB.…”

Section: Potential Predictors Of Malignancymentioning

confidence: 99%

See 2 more Smart Citations

Porcelain Gallbladder: Decoding the malignant truth

Machado

2016

SQUMJ

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Gallbladder calcification, also referred to as porcelain gallbladder, has received significant attention in the medical literature due to its perceived role in increasing the risk of developing a gallbladder carcinoma. However, recent reports raise questions challenging this purported high risk. While previous studies reported a concomitant incidence of gallbladder cancer in porcelain gallbladder ranging from 7-60%, more recent analyses indicate the incidence to be much lower (6%). Based on evidence in the current literature, a prophylactic cholecystectomy is not routinely recommended for all patients with porcelain gallbladder and should be restricted to those with conventional indications, such as young patients. However, it is important to note that a nonoperative approach may require prolonged follow-up. A laparoscopic cholecystectomy is a feasible therapeutic option for patients with porcelain gallbladder, although some researchers have indicated a higher incidence of complications and conversion due to technical difficulties.

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