Hyalinizing Cholecystitis and Associated Carcinoma: A Case Report

Kang, Youngjin; Chae, Yang Seok; Kim, Chul‐Hwan; Lee, Youngseok; Kim, Joo Young; Yu, Young Dong

doi:10.4132/jptm.2016.11.04

Cited by 5 publications

(4 citation statements)

References 6 publications

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“…When the EUS diagnostic method in this study is used, the existence of cholecystitis should be confirmed. Fifth, the EUS methods of this study cannot diagnose a GBMT with certain types of cholecystitis, such as hyalinizing cholecystitis (HC), which causes damage to the layer structure of the GB wall [ 31 – 33 ]. HC is strongly associated with GB cancer.…”

Section: Discussionmentioning

confidence: 99%

A simple method for diagnosing gallbladder malignant tumors with subserosa invasion by endoscopic ultrasonography

et al. 2021

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Background If the depth of gallbladder malignant tumor (GBMT) invasion is deeper than the subserosa (ss), cholecystectomy is insufficient. In past reports that used endoscopic ultrasonography (EUS) to diagnose the depth of tumor invasion, it was difficult to diagnose GMBT invasion in the ss without a narrow or disrupted lateral hyperechoic layer (LHEL). Therefore, we developed a simple preoperative method to diagnose GBMTs with ss invasion. Methods Forty-nine GBMT patients who underwent both EUS and surgery were enrolled: 15 patients whose tumors invaded the mucosa (m) or muscularis propria (mp) were classified as the “shallow group”, and 34 patients whose tumors invaded the ss were classified as the “deep group”. The EUS findings were compared between the two groups. Results An irregular (narrow or thickened) LHEL was significantly more frequently observed on EUS in the deep group than in the shallow group. The diagnosis of ss invasion based on an irregular LHEL had the highest sensitivity and accuracy among the EUS imaging parameters (sensitivity 97.1% (33/34), specificity 86.7% (13/15), accuracy 93.8% (46/49)). When the deep group was limited to patients with a tumor depth of ss, the results were similar. When an irregular LHEL was used, the diagnostic accuracy of GBMTs with ss invasion was not significantly different between EUS specialists and beginners. Conclusions The observation of an irregular (thickened or narrow) LHEL observed on EUS could be a reliable and simple method of diagnosing GBMTs with ss invasion and could contribute to choosing an appropriate surgical method.

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Section: Discussionmentioning

confidence: 99%

A simple method for diagnosing gallbladder malignant tumors with subserosa invasion by endoscopic ultrasonography

et al. 2021

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“…Safra kesesi duvarında, genellikle perivasküler nitelikte ve yama tarzında orta derecede transmural lenfoplazmositer iltihabi hücre infiltrasyonu görülür (1)(2)(3)(4). Bizim olgumuz da bu özellikleri taşımaktaydı.…”

Section: Resim 2 Histiyositten Zengin Lenfoplazmositer Iltihabi Hücreler Ile Infiltre Safra Kesesi Duvarında Hiposellüler Dens Eozinofiliunclassified

“…Bazı vakalarda kalsifikasyon görülebilir. Kalsifikasyon tüm safra kesesi duvarının %80'inden fazlasında mevcut ise komplet porselen kese, daha azında izlenirse inkomplet porselen kese olarak adlandırılır (2). Bizim olgumuzun radyolojisinde şüpheli porselen kese görünümü mevcuttu.…”

Section: Resim 2 Histiyositten Zengin Lenfoplazmositer Iltihabi Hücreler Ile Infiltre Safra Kesesi Duvarında Hiposellüler Dens Eozinofiliunclassified

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Kroni̇k Kolesi̇sti̇ti̇n Nadi̇r Ve Mali̇gni̇te Potansi̇yeli̇ Yüksek Olan Alt Ti̇pi̇; Hyali̇ni̇ze Kolesi̇sti̇t: Olgu Sunumu

Parlak

Memiş

2019

Balıkesir Medical Journal

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Hyalinize kolesistit; kronik kolesistitin nadir bir alt tipidir. Safra kesesi duvarında asellüler ya da seyrek hücre içeren dens hyalinize fibrozis varlığı karakteristik özelliğidir. Bazı vakalarda fibrozise ek olarak safra kesesi duvarında kalsifikasyon görülebilir. Kalsifikasyon yaygın olursa porselen kese tanısı almaktadır. Porselen kese, safra kesesi karsinomu ile yakın ilişkilidir. Bu nedenle hyalinize kolesistit tanısı verirken ayırıcı tanıda safra kesesi karsinomunu mutlaka akılda tutmak gereklidir.

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Unexpected intraoperative finding of a hyalinizing cholecystitis in a patient with gallbladder calculi

Gjinoska,

Nikolovski,

Stoicovski

et al. 2024

Journal of Surgical Case Reports

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Hyalinizing cholecystitis is a rare subtype of chronic cholecystitis in which the gallbladder tissue is replaced with hyaline sclerosis, more or less, and has a characteristic intraoperative appearance. Preoperative diagnosis is hard to establish. The entity is strongly associated with gallbladder carcinoma. Therefore, the pathologist should perform a thorough microscopic analysis. We present a case of an unusual intraoperative finding in a male patient with chronic cholecystitis which was proved to be a hyalinizing cholecystitis.

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Hyalinizing Cholecystitis and Associated Carcinoma: A Case Report

Cited by 5 publications

References 6 publications

A simple method for diagnosing gallbladder malignant tumors with subserosa invasion by endoscopic ultrasonography

A simple method for diagnosing gallbladder malignant tumors with subserosa invasion by endoscopic ultrasonography

Kroni̇k Kolesi̇sti̇ti̇n Nadi̇r Ve Mali̇gni̇te Potansi̇yeli̇ Yüksek Olan Alt Ti̇pi̇; Hyali̇ni̇ze Kolesi̇sti̇t: Olgu Sunumu

Unexpected intraoperative finding of a hyalinizing cholecystitis in a patient with gallbladder calculi

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