담낭벽 종대 발견시 적절한 대처 = Adequate Management of Gallbladder Wall Thickening

다국어 초록 (Multilingual Abstract)

Thickening of the gallbladder wall is a relatively frequent finding on diagnostic imaging. Such thickening is also a common but nonspecific finding in many patients with intrinsic gallbladder disease and extracholecystic conditions. Wall thickening may be diagnostically problematic, occurring (as it does) in both symptomatic and asymptomatic patients and in those with and without indications for cholecystectomy. An important first step is to distinguish between the diffuse and focal forms of thickening.
Subsequently, identification of ancillary imaging findings and the directed use of additional imaging modalities allow accurate diagnosis. This is of clinical importance. Misinterpretation of the cause of thickening can trigger unnecessary cholecystectomies in patients without intrinsic gallbladder disease. Also, misdiagnosis of patients who do in fact require cholecystectomy may delay treatment, thus increasing morbidity. Although a definitive imaging diagnosis may not be possible, the cause of gallbladder wall thickening can be determined in most instances by correlating the clinical presentation with associated imaging findings.

국문 초록 (Abstract)

담낭벽 종대는 흔하게 발견되는 담낭질환이며 대부분의－박은택. 담낭벽 종대 발견시 적절한 대처 － - 19 - 경우 양성의 경과를 밟고 임상증상을 잘 파악하면 대부분에서 진단 및 치료가 용이하다. 하지만 일부에서는 악성의 주요 증상으로 나타나므로 발견 즉시 그 원인을 확실하게 파악하고, 만일 초음파상에서 불명확한 경우 내시경초음파나CT를 이용하여 보다 정밀한 검사를 권유하는 것이 좋다.
또한 진단이 불분명하나 악성의 위험을 가지는 국소성 담낭벽 종대인 경우 가능한 짧은 주기로 추적관찰하거나 수술적 처치를 고려하고 특히 바로 수술하지 않는 경우 향후 악성의 가능성에 대해 환자에게 반드시 교육시키는 것을 권유한다.

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