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Difference between revisions of "Gallbladder"
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→Gallbladder adenomyosis: more
m (→Adenomyosis) |
(→Gallbladder adenomyosis: more) |
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=Less common pathologic diagnoses= | =Less common pathologic diagnoses= | ||
== | ==Adenomyoma of the gallbladder adenomyosis== | ||
===General=== | ===General=== | ||
*Glands in muscle. | *Glands in muscle. | ||
*Analogous to what happens in the [[uterine adenomyosis|uterus]]. | *Analogous to what happens in the [[uterine adenomyosis|uterus]]. | ||
*Significance | *Significance - may mimic malignant tumours of the gallbladder.<ref>{{Cite journal | last1 = Saul | first1 = WM. | last2 = Herrmann | first2 = PK. | title = [Adenomyoma of the gallbladder]. | journal = Dtsch Z Verdau Stoffwechselkr | volume = 48 | issue = 2 | pages = 112-6 | month = | year = 1988 | doi = | PMID = 3168899 }}</ref><ref name=pmid9350002 >{{Cite journal | last1 = Sasatomi | first1 = E. | last2 = Miyazaki | first2 = K. | last3 = Mori | first3 = M. | last4 = Satoh | first4 = T. | last5 = Nakano | first5 = S. | last6 = Tokunaga | first6 = O. | title = Polypoid adenomyoma of the gallbladder. | journal = J Gastroenterol | volume = 32 | issue = 5 | pages = 704-7 | month = Oct | year = 1997 | doi = | PMID = 9350002 }} | ||
</ref> | |||
*Uncommon. | |||
===Gross=== | |||
*Cystic spaces (Rokitansky-Aschoff sinuses) - may be seen on imaging.<ref name=pmid17579153>{{Cite journal | last1 = Ching | first1 = BH. | last2 = Yeh | first2 = BM. | last3 = Westphalen | first3 = AC. | last4 = Joe | first4 = BN. | last5 = Qayyum | first5 = A. | last6 = Coakley | first6 = FV. | title = CT differentiation of adenomyomatosis and gallbladder cancer. | journal = AJR Am J Roentgenol | volume = 189 | issue = 1 | pages = 62-6 | month = Jul | year = 2007 | doi = 10.2214/AJR.06.0866 | PMID = 17579153 }}</ref><ref name=pmid16702464>{{Cite journal | last1 = Boscak | first1 = AR. | last2 = Al-Hawary | first2 = M. | last3 = Ramsburgh | first3 = SR. | title = Best cases from the AFIP: Adenomyomatosis of the gallbladder. | journal = Radiographics | volume = 26 | issue = 3 | pages = 941-6 | month = | year = | doi = 10.1148/rg.263055180 | PMID = 16702464 | URL = http://radiographics.rsna.org/content/26/3/941.long}}</ref> | |||
*Gallbladder wall thickening. | |||
===Microscopic=== | ===Microscopic=== | ||
Features: | Features: | ||
*Glands in muscularis propria of the gallbladder wall. | *Glands in muscularis propria of the gallbladder wall. | ||
*No nuclear atypia. | |||
DDx: | |||
*[[Gallbladder carcinoma]]. | |||
Image: | |||
*[http://radiographics.rsna.org/content/26/3/941/F10.expansion.html Adenomyomatosis of the gallbladder (radiographics.rsna.org)].<ref name=pmid16702464/> | |||
==Gallbladder polyps== | ==Gallbladder polyps== | ||