How is gall myoma to return a responsibility?

summary

Gallbladder myoma is a rare disease. In recent years, due to the development and application of imaging diagnosis technology, especially the common application of B-ultrasound technology in biliary surgery, the detection of gallbladder benign tumor increased significantly. According to incomplete statistics in China, benign tumors of gallbladder account for 4.5% - 8.6% of cholecystectomy cases in the same period. The nomenclature of gallbladder wall benign tumor is confused. So, now let's take a look at the gallbladder myoma is how to return a responsibility? Let's introduce the related knowledge of the field.

How is gall myoma to return a responsibility?

First, to sum up, the etiology of gallbladder fibroids is not clear. Gallbladder polyps are papillary adenomas, which can be divided into cholesterol polyps and inflammatory polyps. The former is due to the high gallbladder pressure or abnormal cholesterol metabolism, resulting in cholesterol particles precipitated in the basal layer of mucosal epithelial cells, tissue cells caused by excessive expansion; Some scholars believe that it is due to the accumulation of macrophages on the mucosa after swallowing cholesterol crystals; The latter is caused by the proliferation of glandular epithelium in the stroma by inflammatory stimulation, and is formed by the infiltration of a large number of inflammatory cells mainly composed of lymphocytes and monocytes.

Second, adenoma is a benign tumor from gallbladder mucosa epithelium, accounting for about 23% of gallbladder benign lesions (Table 3), accounting for about 1% of cholecystectomy cases in the same period, which is more common in women. It is reported occasionally in children. Some cases were accompanied with cholecystolithiasis. Most of gallbladder adenomas were single, a few were multiple; It can occur in any part of gallbladder; Brown to red; The average diameter was (5.5 5 ± 1) mm (1-25 mm), most adenomas were less than 10 mm.

Third: a few adenomas can be between papillary adenoma and non papillary adenoma, and can also be combined with gallstones. Intraadenomatous carcinoma or adenomatous canceration has also been reported from time to time.

matters needing attention

1. Keep a happy mental state, develop good eating habits, fast spicy food, eat less thick greasy food, do not drink alcohol. 2. For people over 40 years old, especially women, regular B-ultrasound examination should be carried out. If cholecystitis, gallstones or polyps are found, more follow-up examination should be carried out. If the condition changes, treatment should be carried out as soon as possible. 3. Before active treatment of cancerous lesions, sooner or later we should eliminate the possible causes of canceration, such as active treatment of cholecystitis, and cholecystectomy should be performed as soon as possible for symptomatic gallstones or larger stones.