Details

Autor(en) / Beteiligte

• Shi, Jing-Sen
• Wang, Jian-Sheng
• Liu, Gang
• Yu, Yue-Li
• Lu, Yun
• Jiao, Xin-Yuan
• Yang, Yi-Jun
• Li, Guo-Cai
• Han, Yue

Titel

Early diagnosis of primary gallbladder carcinoma

Ist Teil von

• Hepatobiliary & pancreatic diseases international, 2002-05, Vol.1 (2), p.273-275

Ort / Verlag

Singapore

Erscheinungsjahr

2002

Quelle

Electronic Journals Library

Beschreibungen/Notizen

• <正> Objective: To improve early diagnosis of primarygallbladder carcinoma (PGC) and the understandingof its pathogenesis, pathological stages and progno-sis.Methods: The data from 679 patients with PGC trea-ted in our hospital from 1956 to 1998 were analyzedretrospectively.Results: The incidence of PGC has been increasing inrecent years, and the treatment is not satisfactory.Upon diagnosis, most patients with PGC were at ad-vanced stage. PGC was usually found in elderlywomen. The ratio of man to woman was 1:3. Thegallstone, closely related to PGC, was found in 60%of the patients with PGC. The diagnostic accordancerate before and after operation was Iow. In most pa-tients, PGC was found unexpectedly during opera-tion for gallstone or acute cholecystitis. Many pa-tients with PGC missed the opportunity of diagnosisand therapy because doctor only noticed the diagnosisof gallstone. Pathological classification revealed thatPGC in most patients (84.4%) were adenocarcino-ma. Imaging helped to find early-stage cases and im-prove prognosis.Conclusions: Understanding of pathogenesis, patho-logical stages and prognosis of PGC and proper useof various examinations are essential to the early di-agnosis and treatment of the disease.