Incidental Carcinoma Gallbladder Cases in Routine Cholecystectomy
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Abstract
Background: Gallstone is a very common gastrointestinal disorder. It is known to produce histopathological changes in the gallbladder. It is also one of the predisposing factors for the development of cancer of gallbladder. Most of the carcinoma of
gallbladder is diagnosed as incidental finding among patients undergoing cholecystectomy. This study was carried out to find out cases of incidental carcinoma gallbladder in patients operated for cholecystitis.
Methods: This is a hospital based descriptive study conducted in Department of Pathology at Nepalgunj Medical College Teaching Hospital, Kohalpur from April 2015 to March 2016. Total of 260 surgical specimens of gallbladder were included in the study.
Results: In this study, there were 5 cases of incidental carcinoma gallbladder (1.92%).In the carcinoma patients, the mean age was 56 years with M: F ratio 1 :4. Adenocarcinoma of the gallbladder was the most common malignancy of the gallbladder.
Conclusion: Histopathology is a gold standard method for detection of carcinoma of gallbladder, as it is superior to clinical and radiological examination. Routine histopathological study of all cholecystectomy specimens are suggested as it helps in
diagnosing occult gallbladder carcinomas.
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