{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T20:45:35Z","timestamp":1782852335408,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,12,21]],"date-time":"2012-12-21T00:00:00Z","timestamp":1356048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Digest Diseases"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine the distribution of macrophages (<jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>\u03a6) in both xanthogranulomatous cholecystitis (<jats:styled-content style=\"fixed-case\">XGC<\/jats:styled-content>) and gallbladder carcinoma (<jats:styled-content style=\"fixed-case\">GBC<\/jats:styled-content>) and to analyze the association between <jats:styled-content style=\"fixed-case\">XGC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">GBC<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2009 to <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>une 2011, 110 patients with gallbladder diseases, including 35 with <jats:styled-content style=\"fixed-case\">GBC<\/jats:styled-content>, 45 with <jats:styled-content style=\"fixed-case\">XGC<\/jats:styled-content> and 30 with chronic cholecystitis (<jats:styled-content style=\"fixed-case\">CC<\/jats:styled-content>), were enrolled. Immunohistochemistry stain and real\u2010time polymerase chain reaction using oncogenes (<jats:italic><jats:styled-content style=\"fixed-case\">BCL<\/jats:styled-content>\u20102<\/jats:italic>, <jats:italic>c\u2010<jats:styled-content style=\"fixed-case\">Myc<\/jats:styled-content><\/jats:italic>) and anti\u2010oncogene genes (<jats:italic>p53<\/jats:italic>, <jats:italic>p21<\/jats:italic>) were performed, serum expressions of tumor marker (<jats:styled-content style=\"fixed-case\">CA19<\/jats:styled-content>\u20109, <jats:styled-content style=\"fixed-case\">CA724<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">CA242<\/jats:styled-content>) were also conducted. <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>\u03a6 were used to determine their potential role in the carcinogenesis of <jats:styled-content style=\"fixed-case\">GBC<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>BCL\u20102 and c\u2010Myc expressions gradually increased among <jats:styled-content style=\"fixed-case\">CC<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">XGC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">GBC<\/jats:styled-content> (<jats:italic>P<\/jats:italic>\u2009=\u20090.032 and <jats:italic>P<\/jats:italic>\u2009=\u20090.020, respectively); while p53 and p21 were similar in the three groups (<jats:italic>P<\/jats:italic>\u2009=\u20090.167 and <jats:italic>P<\/jats:italic>\u2009=\u20090.122, respectively). Serum <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>CL\u20102 and c\u2010<jats:styled-content style=\"fixed-case\">Myc<\/jats:styled-content> were significantly correlated with their tissue levels; in terms of serum tumor markers, which gradually increased among <jats:styled-content style=\"fixed-case\">CC<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">XGC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">GBC<\/jats:styled-content>, however, <jats:styled-content style=\"fixed-case\">CA242<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">CA724<\/jats:styled-content> were both negative in <jats:styled-content style=\"fixed-case\">XGC<\/jats:styled-content> but positive in <jats:styled-content style=\"fixed-case\">GBC<\/jats:styled-content>. Furthermore, gradually increasing <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>\u03a6 counts were observed among <jats:styled-content style=\"fixed-case\">CC<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">XGC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">GBC<\/jats:styled-content> groups; c\u2010<jats:styled-content style=\"fixed-case\">Myc<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">CA724<\/jats:styled-content> were independent predictors for the differentiation of <jats:styled-content style=\"fixed-case\">XGC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">GBC<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">XGC<\/jats:styled-content> is an uncommon inflammatory condition distinct from <jats:styled-content style=\"fixed-case\">CC<\/jats:styled-content> and may be associated with the precancerous nature of <jats:styled-content style=\"fixed-case\">GBC<\/jats:styled-content> for its upregulated oncogenes and <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>\u03a6 biology. c\u2010<jats:styled-content style=\"fixed-case\">Myc<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">CA724<\/jats:styled-content> were independent predictors for the differentiation of <jats:styled-content style=\"fixed-case\">XGC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">GBC<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1751-2980.2012.00645.x","type":"journal-article","created":{"date-parts":[[2012,9,21]],"date-time":"2012-09-21T12:05:23Z","timestamp":1348229123000},"page":"45-50","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Xanthogranulomatous cholecystitis: A clinicopathological study of its association with gallbladder 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