blog counter

 

      

 

 

 

 

                                                                  

                                    

                              

Gallbladder Pathology Online

Pathology of the Porcelain Gallbladder

Dr Sampurna Roy MD

 

Porcelain gallbladder is dystrophic calcification of the gallbladder. It is found in 50% of cholecystectomy specimens.

Calcified gallbladders are five times more common in  women than in men.

The term porcelain gallbladder describes the blue discoloration and brittle consistency of the gallbladder on pathology.

Gross: The gall bladder is contracted with a slightly thickened or grossly thickened wall, which is brittle and calcified.

 

 Diagram of porcelain gallbladder showing thickened, calcified wall

Microscopic features: Histologically, the wall is extensively fibrous with some hyalinization of the collagen.

The calcification is in broad bands or as small intramural concretions.

The mucosa may be frequently absent and replaced by fibrous tissue.

Porcelain gallbladder is an uncommon finding, however, due to the greatly increased chance of malignancy, it must be considered in patients who have cystic type calcification in the right upper abdominal quadrant.

A calcified gallbladder is associated with an increased risk of gallbladder cancer, but at a much lower rate than previously estimated.

The incidence of cancer depends on the pattern of calcification, selective mucosal calcification poses a significant risk of cancer whereas diffuse intramural calcification does not.

 

Further reading:

Porcelain Gallbladder Mimicking Carcinoma Gallbladder-a Case Report and Review of Literature.

Porcelain gallbladder: a benign process or concern for malignancy?

Intrahepatic porcelain gallbladder: coexistence of pathologies.

Porcelain gallbladder complicated with pancreas divisum.

Eosinophilic dysplasia of the gallbladder: a hitherto undescribed variant identified in association with a "porcelain" gallbladder.

Porcelain gallbladder with extrahepatic bile duct obstruction in a child

Laparoscopic cholecystectomy in patients with porcelain gallbladder based on the preoperative ultrasound findings 

Porcelain gallbladder is not associated with gallbladder carcinoma  

Case of mucinous adenocarcinoma with porcelain gallbladder

Is the laparoscopic approach appropriate for porcelain gallbladder?

Cholecystoduodenal fistula in a porcelain gallbladder.

Pre- and intraoperative evaluation of biliary system for successful laparoscopic cholecystectomy in porcelain gallbladder patients 

Carcinoma in the porcelain gallbladder: a relationship revisited

Porcelain gallbladder is not associated with gallbladder carcinoma.

Porcelain gallbladder.

A porcelain gallbladder affecting the assessment of bone mineral content

Porcelain gallbladder: relation between its type by ultrasound and incidence of cancer. 

Porcelain gallbladder in a child: a case report and review.

Right upper quadrant calcification: porcelain gallbladder disease

"Porcelain gallbladder"; a pediatric case report.

Porcelain gallbladder: relation between its type by ultrasound and incidence of cancer.

A porcelain gallbladder affecting the assessment of bone mineral content.

 

 

 

Dr  Sampurna Roy  MD

Consultant  Histopathologist (Kolkata - India)

 

 

 

 

          

 

 

 

Histopathology-India.net

 

Pathopedia-India.com

 

Surgical Pathology.com

 

Pathology-India.com

 

Dermpath-India

 

Infectious Disease Online

 

Pathology Quiz Online 

 

Paediatric Pathology Online

 

Pancreatic Pathology Online

 

Paraganglioma-Online

 

Endocrine Pathology Online

 

Eye Pathology Online

 

Ear Pathology Online

 

Cardiac Path Online

 

Pulmonary Pathology Online

 

Lung Tumour Online

 

Mesothelioma-Online

 

Nutritional Pathology Online

 

Environmental Pathology Online

 

Soft Tissue Tumour Online

 

GI Path Online-India

 

Gallbladder Pathology Online

 

E-book - History of Medicine  

 

Microscope - Seeing the Unseen

 

 

 

Disclaimer

Privacy Policy  

Advertising Policy

Copyright 2017  pathology-india.com