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  • Zanesljivost makroskopske opredelitve tumorskega procesa v steni žolčnika: ali naj na patohistološko preiskavo pošiljamo tudi vse na tumorsko patologijo nesumljive žolčnike? = Accuracy of macroscopical assessment of gallibladder pathology: should we send all macroscopically benign gallbladders on pathological examination?
    Pospihalj, Boris ; Kadiš, Peter ; Zupančič, Marko, 26.5.1960-
    Background. Gallbladder stones are the main reason for numerous gallbladder removal procedures. In many cases it is impossible to discover gallbladder carcinoma during the preoperative workup. ... Diffuse gallbladder wall thickening is usually the result of gallstones but may harbour carcinoma as well. The objective of our study was to estimate the accuracy of the intraoperative macroscopic examination for determination of a pathological process of the gallbladder. Methods. We retrospectively examined 25 cases of the gallbladder carcinoma found in 4288 patients who underwent cholecystectomy in the period from 1993 to 2004. In each of those cases we determined whether a suspicion for carcinoma has been reported based on macroscopic examination. Results. According to macroscopic examination of the gallbladder surgeon did not reportany suspicion for the carcinoma irt 52% of the cases. Conclusions. Due to high inaccuracy of preoperative and intraoperative macroscopical assessment, pathological examination of the resected gallbladder is the only accurate method for the diagnosis of gallbladder carcinoma, as well as for staging and establishing the indication for extended surgical procedure.
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 74, št. 3, mar. 2005, str. 147-151)
    Vrsta gradiva - članek, sestavni del
    Leto - 2005
    Jezik - slovenski
    COBISS.SI-ID - 19255513

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    Digitalna knjižnica Slovenije - dLib.si

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