Risk factors for gallbladder cancer: a reappraisal.
Carcinoma of the gallbladder has a very unusual geographical distribution with pockets of high incidence seen in Chile, Poland, India, Japan and Israel; it occurs rarely in the rest of the world. It is a common malignancy in the Western Bihar and Eastern Uttar Pradesh regions of India. Patients present with extremes of clinical symptoms, indicating benign biliary diseases on the one hand and incurable malignant disease on the other. Laboratory and roentgenographic data tend to confirm the clinical diagnosis of the advanced incurable disease at presentation, in most cases. Various aetiopathological agents have been proposed but none has stood the test of time. In this article, we have reviewed the aetiopathological agents proposed from time to time over the past two centuries, with special emphasis on the developments made in the last 25 years.
Pandey
M
M
Division of Surgical Oncology, Regional Cancer Centre, Medical College PO, Trivandrum 695 011, Kerala, India. manojpandey@rcctvm.org
D002273:Carcinogens / Q000009:adverse effects; D002277:Carcinoma / Q000453:epidemiology / Q000209:etiology*; D002769:Cholelithiasis / Q000150:complications; D004032:Diet; D005006:Ethnicity; D005706:Gallbladder Neoplasms / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D015994:Incidence; D007239:Infections / Q000150:complications; D008019:Life Style; D015227:Lipid Peroxidation; D008668:Metallothionein; D019216:Metals, Heavy / Q000009:adverse effects; D009367:Neoplasm Staging; D016273:Occupational Exposure; D044469:Racial Groups; D012307:Risk Factors
D002273:Carcinogens; D019216:Metals, Heavy; D008668:Metallothionein