بررسي درصد فراواني كارسينوم كيسه صفرا در اعمال كله سيستكتومي انجام شده در بيمارستان حضرت رسول اكرم (ص) از سال 1372 الي 1381

Assessment of (gallbladder Carcinoma Frequency in Cholecystectomy Performed in Hazrat

Background & Aim: Gall bladder carcinoma is 2% to 4% of gastrointestinal malignancies. Approximately 1% to 2% of patients under billiary duct surgeries are cases of gall bladder carcinoma. It has the incidence rate of 3 to 4 times more in females than in males. 90 to 70% of patients with gall bladder carcinoma have billiary stone. Patients & Methods: The present retrospective observational study was carried out cross-sectionally and information was gathered through census method. Gold standard of diagnosis for gall bladder carcinoma was the post-operative pathologic report documented in patientsʹ folder. Staging of the tumors was done via Novium staging method. Results: 677 cases of cholecystectomy with pathologic report were assessed out of whom 14 cases(2.06%) had gall bladder carcinoma. The average age was between 60 to 70 years. Among the further cases of gall bladder carcinoma, there were 85.71% adenocarcinoma, 7.14% in stage IV, and 35.71% in stage III. Conclusion: The prevalence rate of gall bladder carcinoma in cholecystectomy procedures in this study was the same as others. The commonest type similar to other statistics was adenocarcinoma, but in this study two types of adenoacantoma and fibrosarcoma were also seen. All tumors were in advanced stages during the surgery and were over stage III. Preoperative diagnosis is so difficult unless the physician had a suspicion of this disease in all the patients with billiary system disorders.