황색육아종성 담낭염 = 36예의 후향적 분석

다국어 초록 (Multilingual Abstract)

Purpose: Xanthogranulomatous cholecystitis (XGC) is an uncommon, benign destructive and chronic inflammatory disease which is characterized by a marked proliferative fibrosis within the gallbladder wall. XGC occasionally involves adjacent organs and mimicking an advanced gallbladder carcinoma (GBC). The purpose of this study was to review the clinical manifestations, radiologic and pathologic findings of XGC and to investigate an appropriate treatment plan for patients with XGC.
Methods: We retrospectively analyzed the clinical data of 36 patients with a pathologic diagnosis of XGC operated between January 2003 and June 2008.
Results: The most frequent clinical symptom was biliary colic (88.8%). Radiologic studies revealed cholelithiasis in 30 patients (83.3%), thickening of gallbladder wall in 24 patients (66.6%), suspicious cancer in 11 patients (30.5%) and Mirizzi syndrome in 3 patients (8.3%). Laparoscopic cholecystectomy was planned in 18 patients but converted to open surgery in 9 patients. Open cholecystectomy was planned and performed in 13 patients including 8 cases of T-tube choledocholithotomy and 1 case of excision of a cholecystoduodenal fistula. Extended cholecystectomy was performed on 3 patients. GBC was suspected before operation in 11 patients. Of these, frozen-section biopsy was performed in 6 and found to be malignant in 1 patient. One patient who had no operative suspicion of malignancy turned out to have GBC at final histology.
Conclusion: XGC is difficult to diagnose either preoperatively or intraoperatively and definite diagnosis can be obtained by pathologic examination only. If there is an intraoperative suspicion of GBC, frozen-section biopsy will help to decide the appropriate mode of operation.

목차 (Table of Contents)

• 서론
• 방법
• 결과
• 고찰
• REFERENCES

참고문헌 (Reference)

1 전장용, "황색육아종성 담낭염의 임상적 고찰" 한국간담췌외과학회 10 (10): 7-13, 2006

2 Chun HB, "Xanthogranulomatous colecystitis" 3 : 203-209, 1999

3 Kim PN, "Xanthogranulomatous cholecystitis: radiologic findings with histologic correlation that focuses on intramural nodules" 172 : 949-953, 1999

4 Roberts KM, "Xanthogranulomatous cholecystitis: clinicopathological study of 13 cases" 40 : 412-417, 1987

5 Chun KA, "Xanthogranulomatous cholecystitis: CT features with emphasis on differentiation from gallbladder carcinoma" 203 : 93-97, 1997

6 Guzman-Valdivia G, "Xanthogranulomatous cholecystitis: 15 years' experience" 28 : 254-257, 2004

7 McCoy JJ Jr, "Xanthogranulomatous cholecystitis. Report of two cases" 72 : 78-79, 1976

8 Dao AH, "Xanthogranulomatous cholecystitis. A clinical and pathologic study of twelve cases" 55 : 32-35, 1989

9 Maeda T, "Xanthogranulomatous cholecystitis masquerading as gallbladder carcinoma" 89 : 628-630, 1994

10 Guzman-Valdivia G, "Xanthogranulomatous cholecystitis in laparoscopic surgery" 9 : 494-497, 2005

11 Solanki RL, "Xanthogranulomatous cholecystitis (XGC): a clinicopathological study of 21 cases" 32 : 256-260, 1989

12 Benbow EW, "Xanthogranulomatous cholecystitis" 77 : 255-256, 1990

13 Houston JP, "Xanthogranulomatous cholecystitis" 81 : 1030-1032, 1994

14 Yang T, "Surgical treatment of xanthogranulomatous cholecystitis: experience in 33 cases" 6 : 504-508, 2007

15 Kwon AH, "Surgical procedures and histopathologic findings for patients with xanthogranulomatous cholecystitis" 199 : 204-210, 2004

16 Kim MJ, "Gallbladder adenomyomatosis: findings on MRI" 24 : 410-413, 1999

17 Spinelli A, "Extended surgical resection for xanthogranulomatous cholecystitis mimicking advanced gallbladder carcinoma: a case report and review of literature" 12 : 2293-2296, 2006

18 Tyagi SP, "Chronic granulomatous cholecystitis: a clinicopathological study of 17 cases" 89 : 284-287, 1991

19 Takahashi K, "Ceroid-like histiocytic granuloma of gall-bladder --a previously undescribed lesion" 26 : 25-46, 1976

20 Yamaguchi K, "Carcinoma of the gallbladder. A clinicopathology of 103 patients and a newly proposed staging" 62 : 1425-1432, 1988

21 Shuto R, "CT and MR imaging findings of xanthogranulomatous cholecystitis: correlation with pathologic findings" 14 : 440-446, 2004

22 Mehrotra ML, "Biliary granulomatous cholecystitis" 79 : 144-145, 1982

23 Christensen AH, "Benign tumors and pseudotumors of the gallbladder. Report of 180 cases" 90 : 423-432, 1970

24 Joo YE, "A case of xanthogranulomatous cholecystitis" 14 : 90-93, 1999