Journal
WORLD JOURNAL OF GASTROENTEROLOGY
Volume 15, Issue 19, Pages 2361-2366Publisher
BAISHIDENG PUBLISHING GROUP INC
DOI: 10.3748/wjg.15.2361
Keywords
Endoscopic ultrasonography; Neoplastic lesion; Polypoid gallbladder lesion
Categories
Ask authors/readers for more resources
AIM: To assess the ability of endoscopic ultrasonography (EUS) to differentiate neoplastic from nonneoplastic polypoid lesions of the gallbladder (PLGs). METHODS: The uses of EUS and transabdominal ultrasonography (US) were retrospectively analyzed in 94 surgical cases of gallbladder polyps less than 20 mm in diameter. RESULTS: The prevalence of neoplastic lesions with a diameter of 5-10 mm was 17.2% (10/58); 11-15 mm, 15.4% (4/26), and 16-20 mm, 50% (5/10). The overall diagnostic accuracies of EUS and US for small PLGs were 80.9% and 63.9% (P < 0.05), respectively. EUS correctly distinguished 12 (63.2%) of 19 neoplastic PLGs but was less accurate for polyps less than 1.0 cm (4/10, 40%) than for polyps greater than 1.0 cm (8/9, 88.9%) (P = 0.02). CONCLUSION: Although EUS was more accurate than US, its accuracy for differentiating neoplastic from non-neoplastic PLGs less than 1.0 cm was low. Thus, EUS alone is not sufficient for determining a treatment strategy for PLGs of less than 1.0 cm. (C) 2009 The WJG Press and Baishideng. All rights reserved.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available