Early-stage gallbladder cancer (GBC) is mostly discovered incidentally by the pathologist after cholecystectomy for a presumed benign disease. It is the most common malignancy of the biliary tract with a variable incidence rate all over the World. The majority of patients with GBC remain asymptomatic for a long time and diagnosis is usually late when the disease is at an advanced stage. Radical surgery consisting in resection of the gallbladder liver bed and regional lymph nodes seems to be the best treatment option for incidental GBC. However, recurrence rates after salvage surgery are still high and the addition of neoadjuvant/adjuvant chemotherapy may improve outcomes. The aim of the present review is to evaluate current literature for advances in management of incidental GBC, with particular focus on staging techniques and surgical options.
Current management of incidental gallbladder cancer: A review / Feo, Claudio F.; Ginesu, Giorgio C.; Fancellu, Alessandro; Perra, Teresa; Ninniri, Chiara; Deiana, Giulia; Scanu, Antonio M.; Porcu, Alberto. - In: INTERNATIONAL JOURNAL OF SURGERY. - ISSN 1743-9191. - 98:(2022), p. 106234. [10.1016/j.ijsu.2022.106234]
Current management of incidental gallbladder cancer: A review
Feo, Claudio F.
Membro del Collaboration Group
;Ginesu, Giorgio C.Membro del Collaboration Group
;Fancellu, AlessandroMembro del Collaboration Group
;Perra, TeresaMembro del Collaboration Group
;Ninniri, ChiaraMembro del Collaboration Group
;Deiana, GiuliaMembro del Collaboration Group
;Scanu, Antonio M.Membro del Collaboration Group
;Porcu, AlbertoMembro del Collaboration Group
2022-01-01
Abstract
Early-stage gallbladder cancer (GBC) is mostly discovered incidentally by the pathologist after cholecystectomy for a presumed benign disease. It is the most common malignancy of the biliary tract with a variable incidence rate all over the World. The majority of patients with GBC remain asymptomatic for a long time and diagnosis is usually late when the disease is at an advanced stage. Radical surgery consisting in resection of the gallbladder liver bed and regional lymph nodes seems to be the best treatment option for incidental GBC. However, recurrence rates after salvage surgery are still high and the addition of neoadjuvant/adjuvant chemotherapy may improve outcomes. The aim of the present review is to evaluate current literature for advances in management of incidental GBC, with particular focus on staging techniques and surgical options.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
