Tuesday, May 31, 2011

Cancer of gall bladder


CANCER OF GALL BLADDER 

Although uncommon, carcinoma of the gallbladder is the most common primary hepatobiliary carcinoma, is the fifth most common evilness of the gastrointestinal tract, and predominantly affects older persons with long-standing cholecystolithiasis. GB epithelial tumors tend to bear similarly to other GI adenocarcinomas. When the identification is made accidentally at the time of cholecystectomy, surgical resection crapper be sanative ; however, more commonly, the tumor is unresectable and rarely diagnosed preoperatively despite patients' symptoms. Early identification crapper improve the clinical outcome and aid rate of Gall bladder carcinoma.

The most common venture factor for gallbladder cancer is gallstones, which are present in 75%-90% of gallbladder cancer cases. The size of the gallstones plays a role in the venture of developing of gallbladder cancer. Gallbladders containing gallstones that are greater than 3 cm in diameter hit a 10-fold greater venture for developing malignancy than do those containing gallstones that are 1 cm in diameter. Causality is difficult to establish, but other chronic inflammatory conditions, such as cholecystoenteric fistula, primary sclerosing cholangitis, pancreaticobiliary maljunction, and chronic infection with Salmonella typhi, hit also been associated with an increased venture of gallbladder cancer.

Gallbladder cancer is ofttimes unconcealed accidentally during a workup for gallstone disease, and about 50% of gallbladder cancer cases are diagnosed accidentally in cholecystectomy specimens. Unfortunately, about 35% of patients hit distant metastases at the time of diagnosis.

CAUSES
The cause of most insolence sac cancers is unknown. There are a number of venture factors that may increase your chances of nonindustrial this identify of cancer. 

These are:

Gall stones and inflammation Gall sac cancer is more likely to occur in grouping who hit a history of gallstones, or in grouping who hit inflammation of the insolence sac (cholecystitis). However, most grouping who hit stones or an inflamed insolence sac won't amend insolence sac cancer.

Polyps Benign (non-cancerous) tumours, or polyps, of the insolence sac module increase the venture of nonindustrial insolence sac cancer.

Abnormal bile ducts Gall sac cancer is slightly more common in grouping who are dropped with (congenital) abnormalities of the bile ducts.

Porcelain insolence sac People who hit a information titled porcelain insolence bladder, in which metal forms in the surround of the insolence bladder, also hit a slightly increased venture of this identify of cancer.

Porcelain insolence sac People who hit a information titled porcelain insolence bladder, in which metal forms in the surround of the insolence bladder, also hit a slightly increased venture of this identify of cancer.

Smoking There is some evidence to declare that grouping who smoke cigarettes are more likely to amend insolence sac cancer.

Family history People who hit a close qualifying (parent, brother or sister) with insolence sac cancer are fivesome times more likely to amend this identify of cancer, though the venture is still very small.

Obesity Being very overweight can increase your venture of nonindustrial many cancers, including insolence sac cancer.



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