What is it about?
Commonly, a polypoid or flat-elevated gallbladder tumor with a deep hypoechoic area suggests an adenocarcinoma invading the subserosa. However, the histopathology of this case indicated chronic cholecystitis: an inflammatory nodule consisting of dense inflammatory cell infiltrates and massive fibrosis beneath the epithelium of the Rokitansky-Aschoff sinus almost filled with secretions in the shallow subserosa.
Photo by James Wainscoat on Unsplash
Why is it important?
Although a polypoid gallbladder tumor with a deep hypoechoic area suggests an adenocarcinoma invading subserosa, accompanied by abundant fibrosis and lymphocytic infiltration, a particular benign protruded lesion may rarely show a deep hypoechoic area, corresponding to only massive fibrosis without an adenocarcinoma invading subserosa. Likewise, a flat-elevated gallbladder lesion with a deep hypoechoic area should be kept in mind to detect a T2 GBC. However, a specific benign flat-elevated lesion may rarely show similar ultrasound findings to T2 carcinoma as in this case.
Read the Original
This page is a summary of: What condition does gallbladder tumor with a deep hypoechoic area suggest except
carcinoma?, Journal of Clinical Ultrasound, September 2022, Wiley, DOI: 10.1002/jcu.23328.
You can read the full text:
The following have contributed to this page