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Colegio de Medicos y Cirujanos República de Costa Rica

2012, Number 603

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Rev Med Cos Cen 2012; 69 (603)

Cáncer de vesícula biliar

Umaña BC, Zuñiga PA

Language: Spanish
References: 13
Page: 391-396
PDF size: 277.57 Kb.


ABSTRACT

Cancer that arises in the gallbladder is rare. The most common symptoms causing gallbladder cancer are jaundice, pain and fever.In patients whose superficial cancer (T1 or confined to the mucosa)is discovered on pathological examination of tissue aftergallbladder removal for other reasons, the disease is often curedwithout further therapy. In patients with symptoms, the tumor is rarely diagnosed preoperatively. In these cases, the disease is incurable, and you can not remove the tumor completely by surgery. Though palliative measures may help these patients. For patients with T2 disease or greater, an option may be extended resection with partial hepatectomy and portal node dissection. Cholelithiasis is an associated finding in most cases, but less than 1% of cholelithiasis patients with this cancer.


REFERENCES

  1. American Cancer Society.: Cancer Facts and Figures 2011. Atlanta, Ga: American Cancer Society, 2011. Also available online. Last accessed December 1, 2011.

  2. Chao TC, Greager JA: Primary carcinoma of the gallbladder. J Surg Oncol 46 (4): 215-21, 1991.

  3. Chijiiwa K, Tanaka M: Carcinoma of the gallbladder: an appraisal of surgical resection. Surgery 115 (6): 751-6, 1994

  4. F. Charles Brunicardi, Principios de cirugía, Schwartz, Octava Edición

  5. Fong Y, Brennan MF, Turnbull A, et al.: Gallbladder cancer discovered during laparoscopic surgery. Potential for iatrogenic tumor dissemination. Arch Surg 128 (9): 1054-6, 1993.

  6. Gallbladder. In: American Joint Committee on Cancer.: AJCC Cancer Staging Manual. 6th ed. New York, NY: Springer, 2002, pp 139-44.

  7. Hejna M, Pruckmayer M, Raderer M: The role of chemotherapy and radiation in the management of biliary cancer: a review of the literature. Eur J Cancer 34 (7): 977-86, 1998.

  8. Rustagi T, Dasanu CA.J Gastrointest Cancer. 2011 May 20. PMID:21597894, USA nacional library of medicine.

  9. Sasson AR, Hoffman JP, Ross E, et al.: Trimodality therapy for advanced gallbladder cancer. Am Surg 67 (3): 277-83; discussion 284, 2001

  10. Shirai Y, Yoshida K, Tsukada K, et al.: Inapparent carcinoma of the gallbladder. An appraisal of a radical second operation after simple cholecystectomy. Ann Surg 215 (4): 326-31, 1992.

  11. Shoup M, Fong Y: Surgical indications and extent of resection in gallbladder cancer. Surg Oncol Clin N Am 11 (4): 985-94, 2002.

  12. Smoron GL: Radiation therapy of carcinoma of gallbladder and biliary tract. Cancer 40 (4): 1422-4, 1977.

  13. Yamaguchi K, Chijiiwa K, Saiki S, et al.: Retrospective analysis of 70 operations for gallbladder carcinoma. Br J Surg 84 (2): 200-4, 1997.




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