Amit Gupta1, Sweety Gupta2, Rohik Anjum T. Siddeek1, Jaine John Chennatt1, Tanuj Singla1, Deepak Rajput1, Navin Kumar1, Amit Sehrawat3, Sanjeev Kishore4, Manoj Gupta2
1Department of Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
2Department of Radiation Oncology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
3Department of Medical Oncology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
4Department of Pathology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
DOI: 10.4103/jcar.JCar_3_21
ABSTRACT
INTRODUCTION: Gall bladder cancer (GBC) accounts for 80%-95% of biliary tract malignancies in the world. There is however striking variability in the global incidence of gallbladder cancer, reaching epidemic levels for some regions and ethnicities. The aim of this study was to evaluate the demographic and clinicopathological profile of the gallbladder cancer patients.
MATERIALS AND METHODS: All patients of carcinoma gall bladder presenting to department of surgery in hepatopancreaticobiliary unit from July 2017 to November 2020 were included in this study. A proforma containing all the relevant details including history, examination, blood, radiology, and pathological investigations was filled.
RESULTS: A total of 326 patients of GBC were analyzed. The majority (75%) were found to be females with a mean age of 55 years. Pain abdomen was the most common presenting symptom in 81% of patients. The most common stage of presentation was stage IV and only 6 were in stage I. Two hundred and thirty three (71.4%) patients had metastatic disease at presentation. Liver infiltration at the time of diagnosis was present in 89% of patients. The most common site of metastasis was found in the liver (23.3%). GBC was more common in patients with A blood group. Baseline serum albumin levels were found to be significantly associated with the staging of GBC.
CONCLUSIONS: Due to the non specific symptoms patients of GBC present at very advanced stages, high index of suspicion and health education seems to play an important role in early detection and improvement of survival.
Keywords: Cholelithiasis, gallbladder cancer, incidence, metastasis