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Computed Tomographic Findings in 50 Cases of Gall Bladder Carcinoma
R A George1, S C Godara2, P Dhagat3
1Classified Specialist (Radiology), Command Hospital (EC), Kolkata.
Background:
A retrospective assessment of contrast enhanced computed tomography (CECT) scan findings in histopathologically proven cases of carcinoma of the gallbladder (GB) was performed to review its role in diagnosis, staging and assessment of surgical resectability.
Methods:
All the patients had been subjected to a standardised abdominal helical computed tomography scan. Orally administered iodinated contrast was used for opacification of bowel and dynamic intravenous injection of non-ionic iodinated contrast for studying the lesional enhancement and vascular structures.
Results:
The presence of focal or diffuse mass lesions in the gallbladder fossa, infiltration of a liver and second part of duodenum were the most reliable diagnostic features in carcinoma gallbladder. Regional spread was better delineated on CT scan as compared with ultrasonography.
Conclusion:
CT scan is an effective method for evaluating, characterizing and detecting the spread of GB carcinomas.
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