[Clinical analysis of 110 patients with primary gallbladder carcinoma]
Yong-Liang Chen1, Zhi-Qiang Huang, Ning-Xin Zhou
1Department of Hepatobilliary Surgery, PLA General Hospital, Beijing 100853, China.
Objective:
To investigate the clinical characteristics of primary gallbladder carcinoma.
Methods:
The data of clinical manifestations, image characteristics, diagnosis and treatment of 110 patients with primary gallbladder carcinoma were analyzed.
Results:
The rate of diagnosis as early primary gallbladder carcinoma was only 8.2% (9/110) in this series. The majority of the patients were females (63/110) with an age ranging from 31 to 80 years. Clinical manifestations were not specific, and diagnosis was made mainly on image examination. Radical resection was performed for 57 patients, palliative resection for 41, the rest 12 patients failed to receive operation on reasons of distant metastasis, age or other reasons. Only 88 patients were followed with a mean survival time of 196 days ranging from 15 days to 5 years and 11 months.
Conclusion:
The primary gallbladder carcinoma is quite difficult to diagnose at the early stage, and its prognosis is usually poor. The diagnosis is made mainly depending on the medical history and image examinations.
