摘要
本文报告4例黄色肉芽肿性胆囊炎(XGC)。3例女性.1例男性。年龄在 28—60岁之间。常见症状及体征类似慢性胆囊炎和胆道系统结石等。1例B超诊断为胆囊癌。手术及大体观察胆囊壁增厚,1例胆囊底有黄色结节。4例均有胆道系统结石。该病在临床及病理上要与胆囊恶性肿瘤及胆固醇沉着症等鉴别。治疗宜行胆囊切除术。预后良好。
Four cases of xanthogranulomatous cholecystitis (XGC) were reported in whom3 female and 1 male, aged from 28 to 60. The symptoms and signs were similar tothat of chronic cholecystitis and cholelithiasis. Carcinoma of the gallbladder wasdiagnosed in ultrasonography in one case. In all of these cases, gallbladder stone were present, the wall were thicken and yellow nodule was only seen in one case.The diagnosis should be differentiated from primary carcinoma of the gallbladder andcholesterosis. Cholecystectomy is the treatment of choice and the prognosis is good.
