Role of multidetector computed tomography (MDCT) in diagnosis and staging of gall bladder carcinoma

Afifi, A. M.; Abougabal, Ahmed Mohamed; Kasem, Mohamed Ibrahim

doi:10.1016/j.ejrnm.2012.11.003

Cited by 2 publications

(12 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Primary carcinoma of the gallbladder is the most common malignancy of the biliary tract 1 and among the most common malignancy of the gastrointestinal tract. 2 In western countries, gallbladder carcinoma has a peak incidence in the sixth and seventh decades of life and is three to five times more predominant in females. 3 Recent data have shown a remarkable surge in the incidence of gallbladder cancer in the Indian subcontinent.…”

Section: Introductionmentioning

confidence: 99%

“…4 Insidious onsets of symptoms make its early diagnosis difficult and are often confused with symptomatic cholelithiasis or chronic cholecystitis. 2 Localized tumor in the gallbladder or limited infiltration of the adjacent segments of the liver (segments V and IV) is considered for surgical resection by localized liver segmentectomy and cholecystectomy. 3…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Lymph Nodal Metastatic Pattern in Carcinoma Gallbladder with Multidetector Computed Tomography: An Institutional Experience

Raj

Singh

Raj

et al. 2021

ASJO

View full text Add to dashboard Cite

Abstract Objective This work aimed to study the distribution of lymph nodal metastatic pattern in carcinoma gallbladder with multidetector computed tomography (CT). Materials and Methods A retrospective observational study was conducted including 80 patients with carcinoma gallbladder who underwent triple-phase CT angiography or single-phase contrast-enhanced CT scan of the abdomen between January 2019 and November 2019. Results In our study, 75 (93.7%) out of 80 cases showed metastasis to lymph nodes, with distribution as follows: periportal (69), peripancreatic (62), and aortocaval (47). The most common involved combination included all three lymph nodal groups (periportal, peripancreatic, and aortocaval), involving 40 (50%) cases. The combination of only periportal and peripancreatic lymph nodes was seen in 17 (21%) cases. Isolated periportal lymph nodes were seen in eight cases (10%) cases. The combination of only periportal and aortocaval lymph nodes was seen in four (5%) cases. Isolated peripancreatic lymph nodes were seen in three (3.7%) cases. The combination of periportal and aortocaval was seen in four (5%) cases followed by peripancreatic and aortocaval lymph nodes that was seen in two (2.5%) cases. Isolated aortocaval lymph nodes were seen in one (1.2%) case. Conclusion Periportal lymph nodes were the single most commonly involved station followed by peripancreatic and aortocaval lymph nodes. The combination of periportal, peripancreatic, and aortocaval lymph nodes was seen most commonly. The second most commonly involved combination was found to be periportal and peripancreatic lymph nodes followed by isolated periportal lymph nodes.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Lymph Nodal Metastatic Pattern in Carcinoma Gallbladder with Multidetector Computed Tomography: An Institutional Experience

Raj

Singh

Raj

et al. 2021

ASJO

View full text Add to dashboard Cite

show abstract

“…[4,5] It has a worldwide incidence of 1-2/100,000 and is responsible for nearly 7000 deaths annually in the United States. [6,7] It is the eighth commonest gastrointestinal cancer in Nigeria. [8] Although, rare cancer, it is the commonest biliary tract cancer and has a higher incidence than other extrahepatic biliary cancers.…”

Section: Introductionmentioning

confidence: 99%

“…[9,10] Gallbladder carcinoma has a peak incidence in the sixth and seventh decades of life and is three to five times more predominant among females. [6] A study in the western part of Nigeria reported a male to female ratio of 1:2 while a more recent study in the same region showed that gallbladder cancer affected women seven times more frequently than men. [11,12] The gallbladder is a pear-shaped sac attached to the extrahepatic bile duct by the cystic duct.…”

Section: Introductionmentioning

confidence: 99%

“…[13] Early detection and diagnosis of gallbladder carcinoma are difficult because most patients present with non-specific findings of right upper quadrant pain, malaise, weight loss, jaundice, anorexia, and vomiting. [6] However, the risk is higher in those with chronic inflammation following cholelithiasis. Other precancerous lesions include porcelain gallbladder, sclerosing cholangitis, anomalous pancreaticobiliary junction and exposure to carcinogens.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pattern of Computerized Tomographic Findings in Suspected Gallbladder Cancer in Nigeria

Olusola-Bello¹,

Olatunji²,

Ajayi³

et al. 2021

Ann Health Res

View full text Add to dashboard Cite

Background: Gallbladder (GB) cancer is a rare malignancy with a variable incidence worldwide. Imaging detection at an early stage is elusive. Preoperative imaging for tumour recognition and non-invasive staging is essential to triage patients to appropriate care. Objectives: To describe the CT imaging findings of GB cancer among Nigerians. Methods: A retrospective review of the CT images of 15 patients who had gall bladder carcinoma between January 2015 and June 2017 at a private diagnostic facility in Lagos was done. Results: The age of the patients ranged from 39 to 73 years with a mean age of 60.9 years. The male to female ratio was 1:4.3. Clinical presentations included abdominal pain (61.5%) and jaundice (38.5%). Irregular GB wall thickening (61.5%) and focal mass lesions in the GB (38.5%) were the main features on imaging while 38.5% had associated gall stones. Infiltration of the adjacent liver was found in 76.9% and 60 % of those who had local infiltration of the liver also had intrahepatic metastasis. Conclusion: A majority of gall bladder cancer cases are still diagnosed in their late stages. CT scan readily delineates regional spread into adjacent organs which may be obscured in other imaging modalities due to adjacent bowel gas.

show abstract

Role of multidetector computed tomography (MDCT) in diagnosis and staging of gall bladder carcinoma

Cited by 2 publications

References 12 publications

Lymph Nodal Metastatic Pattern in Carcinoma Gallbladder with Multidetector Computed Tomography: An Institutional Experience

Lymph Nodal Metastatic Pattern in Carcinoma Gallbladder with Multidetector Computed Tomography: An Institutional Experience

Pattern of Computerized Tomographic Findings in Suspected Gallbladder Cancer in Nigeria

Contact Info

Product

Resources

About