[Clinical analysis of 110 patients with primary gallbladder carcinoma].
OBJECTIVE
To investigate the clinical characteristics of primary gallbladder carcinoma.


METHODS
The data of clinical manifestations, image characteristics, diagnosis and treatment of 110 patients with primary gallbladder carcinoma were analyzed.


RESULTS
The rate of diagnosis as early primary gallbladder carcinoma was only 8.2% (9/110) in this series. The majority of the patients were females (63/110) with an age ranging from 31 to 80 years. Clinical manifestations were not specific, and diagnosis was made mainly on image examination. Radical resection was performed for 57 patients, palliative resection for 41, the rest 12 patients failed to receive operation on reasons of distant metastasis, age or other reasons. Only 88 patients were followed with a mean survival time of 196 days ranging from 15 days to 5 years and 11 months.


CONCLUSIONS
The primary gallbladder carcinoma is quite difficult to diagnose at the early stage, and its prognosis is usually poor. The diagnosis is made mainly depending on the medical history and image examinations.
Chen
Yong-Liang
YL
Department of Hepatobilliary Surgery, PLA General Hospital, Beijing 100853, China.
Huang
Zhi-Qiang
ZQ
Zhou
Ning-Xin
NX
Zhang
Wen-Zhi
WZ
Huang
Xiao-Qiang
XQ
Duan
Wei-Dong
WD
Liu
Rong
R
Liu
Yang
Y
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002763:Cholecystectomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005706:Gallbladder Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D015996:Survival Rate; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography