[Diagnosis and the therapeutic strategy in gallbladder carcinoma]

Authors analyse the results of the treatment of 39 patients with gallbladder carcinoma for period of 6 years (1987-1992). In relation to all the patients with gallstone disease treated in the clinic for the some period, patients with gallbladder carcinoma were 2.9%, and respectively 4.7% of all biliary operations. Gallstone disease was diagnosed in 28 patients (72%) with gallbladder carcinoma. Important for diagnosis were characteristic clinical signs and symptoms, supplemented by imaging methods (most important ultrasonography--performed in 34 patients). Radical operations were performed in 11 patients (28%), with one year survival rate 82% (9 patients). Authors discuss the relation between the clinical stage of gallbladder carcinoma, performed operation and survival rate in operated patients.