[Gallbladder cancer in a regional hospital].

Autor:	Morera Ocón FJ; Hospital de Requena, Valencia, España. fmoreraocon@aecirujanos.es, Ballestín Vicente J, Ripoll Orts F, Landete Molina F, García-Granero Ximénez M, Millán Tarín J, Tursi Rispoldi Ld, Bernal Sprekelsen JC
Jazyk:	Spanish; Castilian
Zdroj:	Cirugia espanola [Cir Esp] 2009 Oct; Vol. 86 (4), pp. 219-23. Date of Electronic Publication: 2009 Aug 19.
DOI:	10.1016/j.ciresp.2009.02.021
Abstrakt:	Objectives: To assess the management of gallbladder cancer (GBC) in our region. Material and Methods: Data on 372 patients who underwent cholecystectomy were identified from our database (January 2003 to February 2008) and 6 patients were found to have GBC. Results: Four patients had incidental carcinoma, one case was preoperatively suspected, and one patient presented with jaundice and locally advanced neoplasia. The incidence was 2 per 100,000 inhabitants per year; incidental carcinoma in 1.1% of cholecystecomies. The ultrasonography showed multilithiasis in 2 patients, sludge and neoplasia in 1, gallstones more than 3cm in 2, and tumor mass only in 1 case. T stage: 1 case of T0 (in situ), 1 of T1, 2 of T2 and one T4. Incidental carcinomas were reoperated on when a T2 was established: 2 underwent lymphadenectomy and cystic stump resection, 1 segmentectomy IVb-V and lymphadenectomy. In the preoperative suspected neoplasia a cholecystectomy, lymphadenectomy, and partial hepatic gallbladder bed resection was initially performed. Conclusions: GBC has a low incidence but it will be found in 1% of cholecystectomies. There is no adjuvant treatment and T-based surgical treatment is the is the only opportunity to reach cure in those patients. A national GBC database would be helpful in the publication of national guidelines for this disease.
Databáze:	MEDLINE
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