Gallbladder Cancer - TAddona

Gallbladder Cancer - TAddona - Gallbladder Cancer...

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Unformatted text preview: Gallbladder Cancer Epidemiology Incidence ~ 5000 5 th most common GI malignancy Women > men High incidence in S America (Chile) ~ 1% of pts undergoing cholecystectomy for symptomatic gallstones Risk Factors Gallstones Gallbladder Polyps Chronic Salmonella infection Abnormal Pancreaticobiliary duct junction * Porcelain gallbladder * Age Presentation/Diagnostic Imaging Presentation is non-specific Diagnositic Imaging Sono CT MR/MRCP EUS Histology / Pathology * Progression to Ca may take up to 15 yrs Adenocarcinoma 80-90% Anaplastic 7% Squamus 6% Lymphoma, Sarcoma Staging Surgical Management Only 10-30% resectable @ time of diagnosis Three Presentations: GB CA discovered during or after lap/open chole for assumed benign dz GB CA suspected after diagnostic evaluation GB CA advanced stage at presentation Surgical Options Simple cholecystectomy Radical cholecystectomy Radical chole w/ anatomic liver resection Radical chole w/ Whipple What to do during elective lap chole...
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This note was uploaded on 12/21/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Gallbladder Cancer - TAddona - Gallbladder Cancer...

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