Summary
The clinical records of 68 patients with primary carcinoma of the gallbladder (39 cases) and the extra-hepatic biliary tracts (29 cases) were comparatively reviewed. The survivals with carcinoma of the gallbladder were limited to five patients operated upon because of cholelithiasis and/or cholecystitis. The majority of the cases preoperatively diagnosed as cancer of the gallbladder were not able to undergo radical cholecystectomy. Of seven patients with radically resected tumors among 29 cases with carcinoma of the extrahepatic biliary tracts, only two patients survived and other five died with locally recurrent tumors. This experience re-emphasizes the inadequacy of the present diagnosing approarches to the diseases. Therefore, for discovery of the early cases with primary carcinoma of the gallbladder and the extrahepatic biliary tracts, it may be far more important to make more aggressive measures by using newly developed diagnosing tools.
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References
Piehler JM, et al: Primary carcinoma of the gallbladder. Arch Surg 112: 26, 1977
Longmire WP, et al: Carcinoma of the extrahepatic biliary tract. Ann Surg 178: 333, 1973
Mano K, et al: Cancer of the gallbladder. J Abdom Surg 14: 173, 1972
Lee CD, et al: Carcinoma of bile ducts. Surg Gyn Obst 151: 193, 1980
Ohto M, et al: Cancer of the gallbladder —Clinical findings of early cancer of the gallbladder. Jpn J Gastroenterol 66: 146, 1969
Vadheim JL, et al: Carcinoma of the gallbladder: A clinical and pathological study. Am J Surg 63: 173, 1944
Robertson WA, et al: Primary carcinoma of the gallbladder—Review of fifty-two cases. Am J Surg 113: 738, 1967
Burdette PA, et al: Carcinoma of the gallbladder. Ann Surg 145: 832, 1957
Russell PW, et al: Primary carcinoma of gallbladder. Ann Surg 132: 121, 1950
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Nagashima, H., Watanabe, A., Hayashi, S. et al. Primary carcinoma of the gallbladder and the extrahepatic bile duct. Gastroenterol Jpn 17, 246–253 (1982). https://doi.org/10.1007/BF02776004
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DOI: https://doi.org/10.1007/BF02776004