[Carcinoma of the gallbladder. Presentation of the findings on a series of surgical samples and autopsy cases].
We present the clinical and pathologic features of gallbladder carcinomas in a review of surgical and autopsy cases from the Hospital "Juan Canalejo", La Coruña. Out of 713 cholecystectomies performed in the last 30 months we found 13 primary (frequency 1.8%) and 3 metastatic tumors. All primary tumors were carcinomas, most of them well differentiated. The age ranged from 60 to 91 years (median of 73.6) and the female to male ratio was 2.2 to 1. The clinical diagnosis of carcinoma previous to the laparotomy was established only in one case. Cholelithiasis was associated in 11 cases. The staging of the tumors varied considerably, but it was rather advanced. In the review of 1,617 adult autopsies done in the last 14 years, 11 cases had a primary gallbladder carcinoma (frequency 0.61%). The median age was 70.4 years with extremes from 56 to 84. Female to male ratio was 1.2:1 and carcinomatosis, usually from unknown primary, was the form of presentation. Only in two cases the gallbladder had been suspected as the primary site of the tumor. Cholelithiasis was present in 6 cases. Both groups are compared in their clinical and pathologic features.
Suárez Peñaranda
J M
JM
Arnal Monreal
F
F
Alvarez García
A
A
García Rego
J
J
Santiago Freijanes
M P
MP
Rois Soto
J M
JM
D000230:Adenocarcinoma / Q000473:pathology; D000368:Aged; D000369:Aged, 80 and over; D001344:Autopsy; D002277:Carcinoma / Q000473:pathology*; D002763:Cholecystectomy; D005260:Female; D005706:Gallbladder Neoplasms / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged
Carcinoma de vesícula biliar. Presentación de los hallazgos de una serie de piezas quirúrgicas y casos de autopsia.