OVERVIEW FOR THE DIAGNOSIS AND TREATMENT OF GALLBLADDER CARCINOMA
- Author:
Xiaodong HE
1
;
Yi XIAO
;
Chaoji ZHANG
;
Zhenhuan ZHANG
;
Jianxi ZHANG
Author Information
1. General Surgery of Peking Union Medical College Hospital
- Keywords:
gallbladder carcinoma;
radical resection;
anomaly
- From:
Chinese Medical Sciences Journal
2000;15(2):115-118
- CountryChina
- Language:Chinese
-
Abstract:
Objective. To improve the recognition of diagnosis and treatment of gallbladder cancer.Methods. Retrospective analysis of 52 cases of gallbladder carcinoma in our hospital from 1988 to 1998.Results. Preoperative diagnostic rate was 90.3%, of which 12 cases (23%) were early stage of carcinoma. The total operation resection rate was 55.8%, for which only 17.8% were advance stage of carcinoma.Conclution.The early diagnosis is the key factor of increasing treatment successful rate. The following are the symptoms that raise our special attention to carcinoma of gallbladder: (1) Age over 50 have recurrent cholecystitis and with past history of gallstone; (2) Congenital malformation of bile duct; (3) Local thickening and irregularity of gallbladder wall; (4) Polypoid lesion larger than 1cm inside gallbladder; (5) Atrophic gallbladder; (6) Intraluminal stone of gallbladder does not move when change in body position; (7) Regional lymph node enlargement.
