Overview for the diagnosis and treatment of gallbladder carcinoma
1General Surgery of Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730.
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.
Conclusion:
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 galbladder: (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 1 cm inside gallbladder; (5) Atrophic gallbladder; (6) Intraluminal stone of gallbladder does not move when change in body position; (7) Regional lymph node enlargement.
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