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- W2314075558 abstract "背景:胆嚢の隆起性病変はしばしば診断に難渋する．今回われわれは胆嚢腺筋症（adenomyomatosis:ADM）に合併した胆嚢隆起性病変の質的診断に造影超音波検査が有効であった症例を経験したので報告する．症例:58歳，男性．2009年2月，職場の健診で腹部超音波にて胆嚢腫瘍を指摘され当科紹介となった．血液検査ではCEAが8.3ng/mlと上昇していた．体外式ultrasonography(US)では乳頭状隆起性病変を指摘でき，肝床部浸潤を疑う所見であったが，CT，MRIでは隆起性病変の良悪性の鑑別は困難であった．Positron emission CT(PET-CT)では隆起性病変に異常集積を認めなかった．腹部造影超音波検査では乳頭状隆起性病変に強くdiffuseな造影効果を認め，ADMに合併した胆嚢癌と考えられた．悪性を否定できず，同年3月に開腹拡大胆嚢切除術を施行した．肉眼所見では分節型ADMと乳頭状の胆嚢癌を認めた．病理診断ではtub1>pap． s(－)，ss，pHinf0，pBilf0，pPV0，pA0，pN0，pBM0，pHM0，pEM0，int，INFβ，pn0，ly1，v0，pT2，pN0，fStageIIであった．結語:胆嚢の隆起性病変の診断に造影超音波検査は有用な検査となりうる．治療に際し検査所見から総合的に判断することが重要と考えられる．" @default.
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- W2314075558 date "2010-01-01" @default.
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- W2314075558 title "USEFULLNESS OF CONTRAST-ENHANCED ULTRASONOGRAPHY IN THE PREOPERATIVE DIAGNOSIS OF GALLBLADDER CARCINOMA WITH GALLBLADDER ADENOMYOMATOSIS" @default.
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- W2314075558 doi "https://doi.org/10.3919/jjsa.71.1589" @default.
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