Gallbladder cancer: surgical results after cholecystectomy in 25 patients with lamina propria invasion and 26 patients with muscular layer invasion

Otero, Juan C. Rodríguez; Proske, Amalia; C, Vallilengua; Luján, Marta; Poletto, Leonor; Pezzotto, Stella Maris; Fein, Luis; Otero, Jorgelina Rodríguez; Celoria, G

doi:10.1007/s00534-006-1123-3

Cited by 28 publications

(8 citation statements)

References 34 publications

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“…Some authors reported long-term survival after simple cholecystectomy and did not recommend radical resection for T1b disease [18,19], and others reported the five-year survival rate was 37.5-68% after simple cholecystectomy for T1b disease. As a consequence, they advocate aggressive surgery (extended cholecystectomy, wedge resection of gallbladder bed or segment IVb and V resection, N1 lymph node dissection) for pT1b disease [20][21][22].…”

Section: Discussionmentioning

confidence: 99%

Incidental Gallbladder Carcinoma Diagnosed During or After Laparoscopic Cholecystectomy

Zhang

Zou

et al. 2009

World j. surg.

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The survival with incidental GC is related to stage, and it validates that a carefully performed LC is adequate treatment for carcinoma in situ, and stage 1a and b cancer. A frozen section examination was helpful but did not provide a definitive diagnosis. Meticulous techniques during LC, including retrieval of the gallbladder in a retrieval bag, may prevent port-site recurrence and intraperitoneal dissemination.

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Section: Discussionmentioning

confidence: 99%

Incidental Gallbladder Carcinoma Diagnosed During or After Laparoscopic Cholecystectomy

Zhang

Zou

et al. 2009

World j. surg.

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“…Some authors in the past have suggested that no further surgery is required after simple cholecystectomy 6, 19, 20; this based on good results in patients with p T1b after simple cholecystectomy 21, 22 as well as the absence of nodal disease in patients with T1 disease 23, 24. However, it now seems that the advocates for radical revision surgery even for T1b and T2 disease 25–29 are being proved correct based on studies examining lymphovascular invasion 30–32.…”

Section: Discussionmentioning

confidence: 99%

Revision surgery for incidental gallbladder cancer: factors influencing operability and further evidence for T1b tumours

Shukla

Barreto

Kakade

et al. 2008

HPB

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T-stage is an important factor in determining operability as confirmed by our study. As the T-stage of the disease increased, the chances of finding residual disease increased, while operability decreased. Furthermore, the case for revision surgery is strengthened because the incidence of lymph nodal disease is high even for pT1b cancers. The type of primary surgery does not affect operability in patients undergoing revision radical surgery for incidental gallbladder cancer.

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“…Hematogeneous metastases to GB initially occur as small flat nodules below the mucosal layer and then they grow as a pedunculated nodule and resemble a primary GB carcinoma . It is well known that cholecystectomy is not sufficient treatment and more radical surgery is required for GB carcinoma with muscular‐layer invasion or more advanced disease . Furukawa et al reported that 1 of 31 resected GB polypoid lesions of less than 3 cm was a metastasis from RCC, which was detected on both unenhanced and enhanced CT scans.…”

Section: Discussionmentioning

confidence: 99%

Renal cell carcinoma with unusual metastasis to the gallbladder

Nojima

Cho

Yamamoto

et al. 2008

J Hepatobiliary Pancreat Surg

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Gallbladder involvement in patients with renal cell carcinoma (RCC) is extremely rare. We present a report of a 61-year-old man with a synchronous RCC metastasis to the gallbladder presenting as an intraluminal polypoid mass simulating primary gallbladder carcinoma. Enhanced abdominal computed tomography demonstrated a well-enhanced polypoid lesion in the gallbladder. Intraoperative rapid pathological examination of the gallbladder tumor showed clear cell-type cancerous cells. Microscopically, tumor cells of both the resected kidney and gallbladder had round uniform nuclei, clear cytoplasm, and well-defined cytoplasmic borders, forming alveolar patterns. Immunohistochemically, the tumor cells were negative for cytokeratin 7 (CK7) and carcinoembryonic antigen (CEA), which is usually positive in primary clear cell carcinoma of the gallbladder. Therefore, the final diagnosis was RCC with a synchronous gallbladder metastasis.

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Gallbladder cancer: surgical results after cholecystectomy in 25 patients with lamina propria invasion and 26 patients with muscular layer invasion

Abstract: According to these results, cholecystectomy is not sufficient treatment for gallbladder carcinoma with muscular-layer invasion.

Cited by 28 publications

References 34 publications

Incidental Gallbladder Carcinoma Diagnosed During or After Laparoscopic Cholecystectomy

Incidental Gallbladder Carcinoma Diagnosed During or After Laparoscopic Cholecystectomy

Revision surgery for incidental gallbladder cancer: factors influencing operability and further evidence for T1b tumours

Renal cell carcinoma with unusual metastasis to the gallbladder

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