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KMID : 0614619940260010157
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Korean Journal of Gastroenterology
1994 Volume.26 No. 1 p.157 ~ p.166
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Cinical Significance of Polypoid Lesions of the Gallbladder Diagnosed by Ultrasonography
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안중배
강진경/정재복/김명욱/송시영/박인서
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Abstract
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Polypoid lesions of the gallbladder can be seen by using abdominal ultrasonography in clinical practice frequently at present. Nevertheless, the nature of polypoid lesions of the gallbladder is diffcult to before operation. The aim of this study
were to
evaluate the clinical and ultrasonographic findings and to determine the surgical indications of polypoid lesions of gallbladder. Review of X-Ray of ultrasonography was available in 327 cases with polypoid lesions of the gallbladder diagnosed by
ultrasonography from January 1990 to June 1993 at Severance hospital of Yonsei Medical Center. Most of cases of polypoid lesions of gallbaldder were asymptomatic. The surgical indications of 35 cases were symptomatic lesions in 23 cases,
suspicion
of
cancer in 10 cases and association of gallstone in 2 cases. Final diagnosis were benign polyp in 26 cases, malignant polyp in 4 cases and gallstone in 5 cases. Final diagnosis were benign polyp in 26 cases, malignant polyp in 4 cases and
gallstone
in 5
cases. The benign polyps were smaller in the size(less than 1.0cm in diameter) than the malignant polyps(larger than 1.0cm in diameter) and found in younger age than the malignant polyp(over 60 years old). In conclusion, operation should be
performed
for polypoid lesions of gallbladder exceeding 1.0cm in diameter and over 60 years old cases.(Korean J Gastroenterol 1994 ; 26 : 157-166)
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