Is routine histological examination of gall bladder specimens justifiable?
OBJECTIVE
To assess the safety of confining histological examination to gall bladders with radiological and macroscopic features suggestive of cancer.


METHODS
Retrospective study. Setting Department of Histopathology, National Hospital of Sri Lanka.


METHODS
Analysis of all cholecystectomies performed at a tertiary care hospital during a one year period. Computerised histopathological reports and case notes were studied.


RESULTS
Four hundred and seventy seven patients had undergone cholecystectomy for symptomatic gall stones. Four of these patients were found to have gall bladder cancer. In two of them the diagnosis had been suspected on pre-operative ultrasound scan. In the other two, gall bladder cancer was suspected at the time of surgery. Gall bladder cancer was found in 0.8% of specimens and it was suspected perioperatively in all these patients.


CONCLUSIONS
Our preliminary results suggest that a more selective approach to gall bladder histology may result in saving processing time and costs without adversely affecting patient safety.
De Zoysa
M I M
MI
Department of Surgery, Faculty of Medicine, University of Colombo, Sri Lanka. ishandz@hotmail.com
De Silva
S K L A
SK
Illeperuma
A
A
D000368:Aged; D001706:Biopsy; D002763:Cholecystectomy; D005704:Gallbladder / Q000473:pathology*; D005706:Gallbladder Neoplasms / Q000175:diagnosis; D006801:Humans; D008875:Middle Aged