Diverse Histopathological Changes Due to Cholelithiasis Seen in Surgically Removed Gall Bladder Specimens

K. Rashid, B. Burki, Ghansham Ratwani, Saleem Ahmed Somro
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Abstract

Objective: To review the diverse histopathological changes found in the cholecystectomy specimens operated for gallstones Methodology: The study was conducted at surgical ward No. 26 of JPMC for 5 years from January 2012 to December 2017. As per policy, specimens from all patients with symptomatic gall stones who underwent cholecystectomy, were sent for histopathology, the reports were reviewed and frequency of different pathological changes were noted. Results: We observed not merely chronic cholecystitis but a plethora of different histopathological changes including tuberculosis, premalignant conditions and carcinomas, with almost no suspicion of existing pathology pre-operatively. Conclusion: This strengthens our belief that every gall bladder specimen should be subjected to histopathological examination.
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手术切除胆囊标本胆石症引起的多种组织病理学改变
目的:回顾胆结石胆囊切除术标本的多种组织病理学变化。方法:研究于2012年1月至2017年12月在JPMC外科26病房进行,为期5年。根据政策,所有行胆囊切除术的有症状的胆结石患者的标本都被送去做组织病理学检查,检查报告并记录不同病理改变的频率。结果:我们不仅观察到慢性胆囊炎,还观察到多种不同的组织病理学变化,包括结核、癌前病变和癌,几乎没有怀疑术前已有的病理。结论:这加强了我们的信念,即每一个胆囊标本都应该接受组织病理学检查。
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