Gallbladder cancer pathophysiology

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Overview

It is thought that gallbladder cancer is the result of chronic irritation of the gallbladder mucosa over a duration of years may predispose to malignant transformation.

Pathophysiology

Chronic inflammation:

  • It is understood that gallbladder cancer is the result of chronic irritation or inflmation of the gallbladder
  • In most of patients (>75%), the nidus of this chronic inflammation is  gallstones. 
  • Gallbladder cancer affects most commonly females 2-3 times than males[1]
  • In carcinogenesis of gallbladder cancer, Chronic inflammation is directly propotional to malignant transformation
  • Chronic inflammation leads to deoxyribonucleic acid (DNA) damage, Releasing cytokines and growth factor in response to inflamation predispose to malignant transformation

References

  1. Lazcano-Ponce EC, Miquel JF, Muñoz N, Herrero R, Ferrecio C, Wistuba II, Alonso de Ruiz P, Aristi Urista G, Nervi F (2001). "Epidemiology and molecular pathology of gallbladder cancer". CA Cancer J Clin. 51 (6): 349–64. PMID 11760569.