Differential diagnosis and management strategies of xanthogranulomatous cholecystitis and gallbladder carcinoma
WANG Guang-yi
SUN Xiao-dong
QIU Wei
Abstract：Xanthogranulomatous cholecystitis (XGC) is a rare type of cholecystitis, and the etiopathogenesis of XGC is not fully understood. It is difficult to differentiate XGC from gallbladder carcinoma by symptoms, physical examination, laboratory tests, and radiographic findings because of uneven thickening gallbladder wall and severe adhesions with surrounding organs, especially in some cases associated with gallbladder carcinoma. Preoperative and intraoperative diagnosis rate is poor. Preoperative and intraoperative fineneedle aspiration cytology and frozen pathology is important to the intraoperative surgical management. Because of a high conversion rate (laparoscopic to open cholecystectomy) and incidence of complications with laparoscopic cholecystectomy, open surgery is suggested. The appropriate surgical procedures should be performed according to intraoperative frozen pathology results.
Keywords：xanthogranulomatous cholecystitisgallbladder carcinomadifferential diagnosis
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1050-1053 )