胆嚢腺筋腫症
WordNet
- a muscular sac attached to the liver that stores bile (secreted by the liver) until it is needed for digestion (同)gall bladder
PrepTutorEJDIC
- 胆のう
UpToDate Contents
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English Journal
- Successful diagnosis of gallbladder carcinoma coexisting with adenomyomatosis by 18F-FDG-PET--report of a case.
- Suzuki K, Watada S, Yoko M, Nakahara T, Kumamoto Y.SourceDepartment of Surgery, TEPCO Hospital, Tokyo, Japan. k1suzuki@mac.com
- Journal of gastrointestinal cancer.J Gastrointest Cancer.2011 Dec;42(4):252-6.
- PMID 20949377
- Clinicopathologic features of advanced gallbladder cancer associated with adenomyomatosis.
- Kai K, Ide T, Masuda M, Kitahara K, Miyoshi A, Miyazaki K, Noshiro H, Tokunaga O.SourceDepartment of Pathology and Microbiology, Faculty of Medicine, Saga University, Nabesima 5-1-1, Saga City, Saga 849-8501, Japan. kaikeit@cc.saga-u.ac.jp
- Virchows Archiv : an international journal of pathology.Virchows Arch.2011 Dec;459(6):573-80. Epub 2011 Oct 26.
- Adenomyomatosis of the gallbladder has not been considered to have malignant potential, but gross features of adenomyomatosis are sometimes encountered in gallbladders resected under a diagnosis of gallbladder carcinoma. The purpose of this study was to determine the clinicopathologic features and s
- PMID 22038508
Japanese Journal
- 症例 胆嚢腺筋腫症の経過観察中に胆嚢癌合併を術前診断し得た1例 (特集 腹部の最新画像情報2016)
Related Links
- Adenomyomatosis of the gallbladder is a hyperplastic cholecystosis of the gallbladder wall. It is a relatively common and benign cause of diffuse or focal gallbladder wall thickening. It is most easily seen on ultrasound and MRI.
- Gallbladder adenomyomatosis is a fairly common, benign disorder. What CT findings can assist in an accurate diagnosis? ... Discussion Gallbladder adenomyomatosis is a benign disorder, which occurs more ...
★リンクテーブル★
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- 英
- gallbladder adenomyomatosis, adenomyomatosis of gall bladder
- 同
- 胆嚢アデノミオマトーシス
- 関
- ロキタンスキー・アショフ洞、腺筋腫症、胆嚢、腺筋症 adenomyomatosis
概念
- 胆嚢粘膜の増生、筋層の肥厚、粘膜内憩室(ロキタンスキー・アショフ洞 Rokitansky-Aschoff sinus RAS。筋層を貫く)が特徴の病変
- 名前の通り粘膜上皮がadenomatous changeを来しているわけではないし、前癌病変でもない。
- 以前はgallbladder diverticulosis, cholecystitis glandularis proliferans, adenomyomatous hyperplasiaと記載されていた。
疫学
病因
病理
症状
検査
-胆嚢腺筋症
- 図：SRA.503 RNT.215
- 限局性・びまん性の壁肥厚
- 造影CTや胆嚢造影併用CTで壁内にRokitansly-Aschoff sinusの拡張が見られる
- 胆嚢造影では胆嚢の輪郭に沿って点状の造影剤の溜まりがみられる(SRA.503)
- 増殖した粘膜が肥厚して胆嚢壁内に入り込んで陥凹(Rokitansly-Aschoff sinus)を作る(RNT.215)
治療
- 症状がなければ経過観察。
- 胆嚢癌との鑑別ができない場合や腹痛が著明な場合は胆嚢摘出術の適応
国試