Carcinoma of the Gallbladder
| Autor: | Gabriel Tartarian, Deborah L. Driscoll, Hector R. Nava, Harold O. Douglass, Silk Yn |
|---|---|
| Rok vydání: | 1989 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Adenocarcinoma medicine Carcinoma Humans Stage (cooking) Epithelioma business.industry Gallbladder Cancer Middle Aged medicine.disease Combined Modality Therapy Surgery medicine.anatomical_structure Carcinoma Squamous Cell Female Gallbladder Neoplasms Cholecystectomy Gallbladder Neoplasm business Research Article |
| Zdroj: | Annals of Surgery. 210:751-757 |
| ISSN: | 0003-4932 |
| DOI: | 10.1097/00000658-198912000-00010 |
| Popis: | The median survival, from diagnosis, of patients with cancer of the gallbladder is 6 months. Our purpose in reviewing our experience was to identify factors, either in patient characteristics or treatment, that influence this statistic. In 22 years 71 cases of gallbladder carcinoma were referred to Roswell Park Memorial Institute in Buffalo, New York. Most had a cholecystectomy that revealed an unsuspected neoplasm, before referral. Mean age was 62 years and 75% were female. Symptoms, signs, and laboratory and imaging studies were uniformly unhelpful in determining the diagnosis. Early diagnosis at a stage amenable to surgical excision remains the sole salvation. Patients who receive chemotherapy did better than those who did not, but this is probably a reflection of patient selection. Newer treatment modalities are urgently needed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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