Xanthogranulomatous cholecystitis: a rare gallbladder pathology from a single-center perspective

Ahmet Gokhan Saritas; Mehmet Onur Gul; Zafer Teke; Abdullah Ulku; Ahmet Rencuzogullari; Ishak Aydin; Atilgan Tolga Akcam

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자료유형: 학술저널

저자정보: Ahmet Gokhan Saritas (Cukurova University) Mehmet Onur Gul (Cukurova University) Zafer Teke (Cukurova University) Abdullah Ulku (Cukurova University) Ahmet Rencuzogullari (Cukurova University) Ishak Aydin (Cukurova University) Atilgan Tolga Akcam (Cukurova University)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.99 No.4

발행연도: 2020.10

수록면: 230 - 237 (8page)

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Purpose: The aim of this study was to review patients with xanthogranulomatous cholecystitis (XGC).
Methods: A total of 79 patients diagnosed with XGC were included in the study. The criteria for XGC in the pathology specimens were the presence of histiocytes, cholesterol deposits, lipids, and focal or widespread wall enlargement.
Results: Patients were diagnosed with XGC, of which 52 (65.8%) were male and 27 (34.2%) were female, creating a male-to-female ratio of 2:1. The mean age was 65.8 ± 14.3 years (range, 36–97 years). The most common presenting symptom was abdominal pain (63.3%), and the least common presenting symptom was jaundice (8.9%). Of the total, 25 patients were found to have pathological conditions with the potential to obstruct the bile duct or to slow bile flow. A frozen section examination was performed on 20 patients due to suspicion of a tumor by intraoperative macroscopic examination. However, no malignancy was detected in the cases who underwent a frozen section examination. An increase in wall thickness of the gallbladder was observed in 81.6% (n = 31) of the patients on computed tomography scans and in 81.8% (n = 18) of the patients on magnetic resonance imaging scans in which possible tumor lesions were reported, but no tumor was detected.
Conclusion: It is difficult to diagnose XGC either preoperatively or intraoperatively, and further imaging methods are needed in the preoperative period other than ultrasonography. However, a definitive diagnosis depends exclusively on pathologic examination.

#Cholecystectomy #Gallbladder #Gallbladder neoplasms #Gallstones #Xanthogranulomatous cholecystitis

참고문헌 (30)

참고문헌 신청

Christensen AH / 1970 / Benign tumors and pseudotumors of the gallbladder. Report of 180 cases / Arch Pathol 90:423~432

Goodman ZD / 1981 / Xanthogranulomatous cholecystitis / Am J Surg Pathol 5:653~659

Yang T / 2007 / Surgical treatment of xanthogranulomatous cholecystitis : experience in 33 cases / Hepatobiliary Pancreat Dis Int 6:504~508

Sharma D / 2009 / Xanthogranulomatous cholecystitis masquerading as malignancy with liver metastasis / ANZ J Surg 79:946~947

Goshima S / 2010 / Xanthogranulomatous cholecystitis : diagnostic performance of CT to differentiate from gallbladder cancer / Eur J Radiol 74:e79~e83

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