Gallbladder cancer screening
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]
Overview
According to the National Comprehensive Cancer Network (NCCN) guidelines, gallbladder cancer may be diagnosed as an incidental finding in patients who undergo laparoscopic cholecystectomy.
Screening
- According to the NCCN guidelines, screening for gallbladder cancer patients include followings:
- Endoscopic ultrasonography (EUS)
- Computed tomography (CT)
- Magnetic resonance imaging (MRI) with/without contrast
- Patients after incidental finding during laparoscopic cholecystectomy patient are recommends considering staging laparoscopy.
- When gallbladder pathology is suspected ultrasonography is most commonly the first choice for screening.
- Sensitivity and specificity of ultrasound screening is 85% and 80%.
- High-resolution contrast-enhanced ultrasonography identifies up to 70–90% of polypoid gallbladder lesions.[1]