gallbladder cancer

Complete English Translation · Source 1

Chengdu Pují Traditional Chinese Medicine Research Institute

Chengdu Puji TRADITIONAL CHINESE MEDICINE RESEARCHINSTITUTE Traditional Chinese Medicine Outpatient Department

Chengdu Pují

Traditional Chinese Medicine for tumor treatment and rehabilitation case

kindness and skillfulness

V differential diagnosis and treatment / treat both root and symptom V tumor survival

clinical summary:

disease type: gallbladder cancer, age: 78, gender: female

78-year-old patient with gallbladder cancer [PATIENT], CT report in January 2026 shows the primary lesion size at the neck of the gallbladder

approximately 33mm x 22mm,

subsequently visited our hospital.

south

Nanjing Medical University Affiliated Nanjing Hospital

first

one

hospital

Nanjing Cardiovascular Disease Hospital

patient ID:

CT diagnosis report form

Examination number: [REDACTED]

name:

[REDACTED]

age: 78 years old

outpatient number:

[REDACTED]

department: Jin Surgery

ward: (wangle la

bed number:

[REDACTED]

[REDACTED]

No obvious abnormalities in the size and shape of the liver, multiple round low-density shadows in the hepatic parenchyma, the largest located in the S6 segment, diameter approximately 6.6mm,

Mild delayed enhancement involving the cystic duct. Dilation of the common bile duct and intrahepatic bile ducts. In the hepatic hilum and abdominal aorta region

Increased gallbladder volume, slightly increased density within the lumen, uneven thickening of the gallbladder wall, more pronounced at the neck, size

Exudative shadows around the hepatic hilum and pancreatic head hook, no obvious enhancing lesions. The spleen showed no obvious abnormalities in shape and size, with no obvious abnormalities

Mass and nodular shadows, blurry margins, the largest measuring approximately 43mm*28mm, moderate enhancement on contrast-enhanced scanning. Liver

Commonly enhanced lesion. Nodular thickening of both adrenal glands. Both kidneys showed no obvious abnormalities in shape and size, with a hypointense shadow noted in the left kidney.

The gallbladder lesion size is approximately 33mm×22mm

Imaging diagnosis:

Biliary mass lesion, consider cholangiocarcinoma with possible cystic duct obstruction: dilation of intrahepatic bile ducts in the hepatic hilum region.

Enlarged lymph nodes in the region adjacent to the abdominal aorta with exudative shadows, metastasis to be ruled out.

Possible inflammatory exudate around the hepatic hilum and pancreatic head hook.

Liver and left renal cysts.

Nodular thickening of both adrenal glands.

Please combine with clinical findings and further diagnose and treat.

After nearly one month of medication, the patient underwent a follow-up examination in March 2026, and the report showed the primary lesion at the cystic duct neck

The lesion has shrunk compared to before, approximately 16mm×16mm.

South

Beijing No.1 Hospital

Patient ID:

CT diagnosis report form

Name:

[REDACTED]

Age: 78 years old

Examination number: [REDACTED]

Outpatient number:

[REDACTED]

At the day of the scan.

Findings:

Normal, calcifications observed in the walls of the aorta and coronary arteries. No obvious enlarged lymph nodes in the mediastinum. Left pleural effusion. Right lung

Trachea and its branches are patent, no clear obstruction signs. No obvious abnormalities in the lung hilum regions. Cardiac morphology and size showed no obvious abnormalities

Long diameter approximately 4mm. Patchy shadows seen subpleurally in both lungs. Calcification seen in the left lobe of the thyroid

Upper lobe irregular mass formation. Multiple nodules seen in both lungs, the largest located in the posterior basal segment of the right lower lobe (thin-section: IM206) as a solid nodule

Delayed enhancement, involving the cystic duct. Trace fluid in the gallbladder fossa. Partial intrahepatic biliary tree dilation.

Increased gallbladder volume, slightly increased density within lumen, uneven thickening of gallbladder wall, neck of gallbladder>

Fibrous mass and nodule shadows, blurry margins, the largest located at the porta hepatis, size approximately 40mm x 34mm, moderate enhancement on contrast-enhanced scan, and

No obvious abnormality in liver size and shape, a small patchy slightly low-density shadow seen subcapsularly in the left hepatic lobe, with insignificant enhancement. Multiple

Indistinct boundary with adjacent pancreatic tissue

Abnormal, no obvious enhancing foci seen within. Bilateral adrenal nodular thickening. The two kidneys show no obvious morphological or size abnormalities, left

Round low-density shadow, the largest located in the S6 segment, diameter approximately 6.6mm, no enhancement on contrast-enhanced scan. No obvious abnormality in spleen morphology and size

Kidney shows a round hypointense shadow

No obvious abnormal enhancement in the uterine region: a round low-density shadow seen in the right adnexal region. No obvious enhancement: poor bladder filling,

Wall thickened; no obvious abnormality in the posterior rectum. Trace fluid in pelvis. Postoperative lumbar spine

Imaging diagnosis:

Gallbladder lesion size approximately 16mm x 16mm

Left pleural effusion. Arteriosclerosis. Calcification focus in the left lobe of the thyroid

Two small nodules. Chronic inflammation subpleurally in both lungs. Upper lobe irregular mass formation in the right upper lobe

Fibrous density shadows and nodular shadows at the porta hepatis and abdominal aorta region, considered metastasis. Compared to previous, the lesion size has increased

Biliary cancer with biliary stricture on follow-up, the lesion range slightly reduced compared to previous (2026-01-15), with increased gallbladder volume

Trace fluid in gallbladder. Dilation of intrahepatic biliary tree

Bilateral adrenal nodular thickening

Examination of the abdomen

026-03-26 14:55:36 Report time: 2026-03-26 17:00:07

Review time: 2026-03-27 08:30:38

Reviewing physician: Ma Yuhu

Ma die bottom