Nomenclature correction of "incidental gallbladder cancer" and its prevention strategies
10.3760/cma.j.cn112139-20200302-00174
- VernacularTitle:"意外胆囊癌"不规范诊断命名的纠正和预防策略
- Author:
Di ZHOU
1
;
Mingzhe WENG
;
Zhiwei QUAN
Author Information
1. 上海交通大学医学院附属新华医院普通外科 200092
- Keywords:
Gallbladder neoplasms;
Neoplasm staging;
Incidental gallbladder cancer
- From:
Chinese Journal of Surgery
2020;58(7):490-493
- CountryChina
- Language:Chinese
-
Abstract:
Incidental gallbladder cancer(IGBC) originated in the West more than half a century ago.IGBC was translated and introduced into China afterwards with widespread clinical application.With the popularization of laparoscopic cholecystectomy, the trend of "abuse" of IGBC has become increasingly apparent worldwide.Many advanced gallbladder cancers have been categorized as IGBC which actually become the synonym of "missed diagnosis" . From the point of the pathology, the diagnosis of IGBC may cause delays in treatment and adversely affect the patient′s prognosis.For country like China with relatively high incidences of chronic cholecystitis, cholelithiasis, and gallbladder cancer, the concept of IGBC, however, is no longer applicable to our diagnosis treat model.For improving the prognosis of gallbladder patients, it is necessary to update and rename the concept of IGBC and more attention should be paid to improve the diagnostic level of early stage tumor.
