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Cirugía paraguaya

versión On-line ISSN 2307-0420


RAMIREZ, Analía Soledad et al. GALLBLADDER CARCINOMA. A 10 YEARS' EXPERIENCE AT NATIONAL CANCER INSTITUTE. Rev. Cir. Parag. [online]. 2016, vol.40, n.2, pp.8-11. ISSN 2307-0420.

There were found 36 cases of gallbladder cancer, an average of 3.6 new cases per year, 75% were women. The mean age was 59.5 years (40-80 r). As a major risk factor for gallstone disease found in 87%, 8% obesity, gallbladder polyp 2% without risk factor none 3% of patients presented family medical history associated with this pathology. The 100% patients were initially operated in other surgical services in the country and then were referred to our institution for better treatment in these services simple cholecystectomy was performed in 26 cases partial. Cholecystectomy in 2 cases, cholecystectomy + external drainage in 3 cases, cholecystectomy + lymph node biopsy in 3 cases, only biopsy in 2 cases for disseminated disease. 14% of patients had jaundice, choluria + acholia. The stratification at admission was a stage IV b by 83% to 11% IV and III b 6%. A pathology results it was found that the predominant Adenocarcinoma in 82% to 12% and scamous 6% poorly differentiated carcinoma. The proposed by the multidisciplinary team and in our institution treatment was surgery in 7 cases, exclusive chemotherapy in 1 case, palliative chemotherapy in 5 patients, palliative care exclusive in 18 cases. It is worth mentioning that 5 patients refused any treatment requesting voluntary discharge. Notably, one patient in the series which received surgical treatment (radical hepatic resection + lymphadenectomy IV and V) plus radiotherapy and adjuvant chemotherapy had a survival of 4 years.

Palabras clave : women; gallbladder; gallbladder carcinoma; cholecystectomy..

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