Cáncer de vesícula biliar en un hospital comarcal |
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Authors: | Francisco José Morera Ocó n,Javier Ballestí n Vicente,Francisco Landete Molina,José Millá n Tarí n,Juan Carlos Bernal Sprekelsen |
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Affiliation: | a Servicio de Cirugía General, Hospital de Requena, Valencia, España b Servicio de Radiología, Hospital de Requena, Valencia, España |
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Abstract: | ObjectivesTo assess the management of gallbladder cancer (GBC) in our region.Material and methodsData on 372 patients who underwent cholecystectomy were identified from our database (January 2003 to February 2008) and 6 patients were found to have GBC.ResultsFour 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 3 cm 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.ConclusionsGBC 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. |
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Keywords: | Cá ncer de vesí cula biliar Carcinoma incidental Incidencia |
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