Gallbladder cancer screening: Difference between revisions
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According to the National Comprehensive Cancer Network (NCCN) guidelines, gallbladder cancer may be diagnosed as an accidental finding in patients who undergo [[laparoscopic]] [[cholecystectomy]]. | According to the National Comprehensive Cancer Network (NCCN) guidelines, gallbladder cancer may be diagnosed as an accidental finding in patients who undergo [[laparoscopic]] [[cholecystectomy]]. | ||
==Screening== | ==Screening== | ||
* According to the NCCN guidelines, [[screening]] for gallbladder cancer patients | * According to the NCCN guidelines, [[screening]] for gallbladder cancer patients include followings: | ||
**[[Endoscopy|endoscopic]] ultrasongraphy (EUS) | |||
**[[computed tomography]] (CT) | |||
**[[magnetic resonance imaging]] (MRI) with/without contrast | |||
*Patients after incidental finding during [[laparoscopic]] [[cholecystectomy]] patient are recommmends considering staging [[laparoscopy]].<sup> </sup> | |||
* When [[gallbladder]] pathology is suspected [[ultrasonography]] is most commonly the first choice for screening. | * When [[gallbladder]] pathology is suspected [[ultrasonography]] is most commonly the first choice for screening. | ||
* [[Sensitivity]] and [[specificity]] of [[ultrasound]] screening is 85% and 80%. | * [[Sensitivity]] and [[specificity]] of [[ultrasound]] screening is 85% and 80%. |
Revision as of 16:32, 19 December 2018
Gallbladder cancer Microchapters |
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Gallbladder cancer screening On the Web |
American Roentgen Ray Society Images of Gallbladder cancer screening |
Risk calculators and risk factors for Gallbladder cancer screening |
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 accidental finding in patients who undergo laparoscopic cholecystectomy.
Screening
- According to the NCCN guidelines, screening for gallbladder cancer patients include followings:
- endoscopic ultrasongraphy (EUS)
- computed tomography (CT)
- magnetic resonance imaging (MRI) with/without contrast
- Patients after incidental finding during laparoscopic cholecystectomy patient are recommmends 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%.
- A high-resolution contrast-enhanced ultrasonography identifies up to 70–90% of polypoid gallbladder lesions.[1]
- Gallbladder cancer on ultrasound have one of the following features.[2]
- 1) A mass in the gallbladder
- 2) A polyp in the gallbladder
- 3) Asymmetric wall thickening of the gallbladder
- Polyps which are over 1 cm in diameter have higher chance to contain an invasive cancer than smaller ones.[3]
- With Contrast-enhanced ultrasonography gallbladder cancer shows an “eruption sign”[4]
References
- ↑ Inui K, Yoshino J, Miyoshi H (2011). "Diagnosis of gallbladder tumors". Intern. Med. 50 (11): 1133–6. PMID 21628925.
- ↑ Kanthan R, Senger JL, Ahmed S, Kanthan SC (2015). "Gallbladder Cancer in the 21st Century". J Oncol. 2015: 967472. doi:10.1155/2015/967472. PMC 4569807. PMID 26421012.
- ↑ Wibbenmeyer LA, Sharafuddin MJ, Wolverson MK, Heiberg EV, Wade TP, Shields JB (1995). "Sonographic diagnosis of unsuspected gallbladder cancer: imaging findings in comparison with benign gallbladder conditions". AJR Am J Roentgenol. 165 (5): 1169–74. doi:10.2214/ajr.165.5.7572497. PMID 7572497.
- ↑ Vijayakumar A, Vijayakumar A, Patil V, Mallikarjuna MN, Shivaswamy BS (2013). "Early diagnosis of gallbladder carcinoma: an algorithm approach". ISRN Radiol. 2013: 239424. doi:10.5402/2013/239424. PMC 4045520. PMID 24959553.