The Correlation between Ultrasonography and Histopathology in the Management of Gall Bladder Polyps
The Correlation between Ultrasonography and Histopathology in the Management of Gall Bladder Polyps
复制标题
DOI：
10.1080/00015458.2013.11680913
复制
发表时间：
2013-05-01
影响因子：
0.8
通讯作者：
Diggory, R.
中科院分区：
文献类型：
--
作者：
Ahmed, M.;Diggory, R.
简介：胆囊息肉的诊断大大增加，由于广泛实施腹部ultrason.Patients和方法：2005年2月至2010年2月，共39例腹腔镜胆囊切除术进行了怀疑胆囊息肉。我们回顾性分析这些病人的术前超声和病理报告。结果：该研究包括10名男性和29名女性症状患者，平均年龄为51.4岁。病理证实7例为真性息肉，23例为假性息肉。无恶性标本，慢性胆囊炎9例。超声诊断胆囊息肉的阳性预测值（PPV）为0.77，真性胆囊息肉的阳性预测值为0.18。结论：超声诊断真性胆囊息肉的阳性预测值为0.18。我们建议，需要更先进的成像方式，以改善这一数字，并加强病人的管理。
Introduction : The diagnosis of gall bladder polyps has increased greatly due to widespread implementation of abdominal ultrasound.Patients and methods : Between February 2005 and February 2010 a total of 39 laparoscopic cholecystectomies were performed for suspected gall bladder polyps. We retrospectively analysed these patients pre-operative ultrasound and histopathology report.Results : The study comprised 10 male and 29 female symptomatic patients with a mean age of 51.4 years. Histopathology demonstrated seven true polyps and 23 pseudopolyps. There were no cases of malignant specimens and nine cases of chronic cholecystitis. The positive predictive value (PPV) of ultrasonography for gall bladder polyps was 0.77 and the PPV for true polyps 0.18.Conclusion : PPV for the identification of true gallbladder polyps using ultrasound remains very low at 0.18. We suggest that more advanced imaging modalities are required to improve this figure and enhance patient management.