Adenocarcinoma of the gallbladder--a 5 year review of outcome in Newcastle upon Tyne

Patients presenting with adenocarcinoma of the gallbladder within Newcastle upon Tyne over a 5 year period (1980-1985) were reviewed retrospectively. The mean age of patients on diagnosis was 74 years. Of the 29 patients diagnosed, two were detected after routine cholecystectomy. Laparotomy was perf...

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Published inJournal of the Royal Society of Medicine Vol. 84; no. 2; pp. 84 - 86
Main Authors Burgess, P, Murphy, P D, Clague, M B
Format Journal Article
LanguageEnglish
Published England 01.02.1991
Subjects
Adenocarcinoma - diagnostic imaging
Adenocarcinoma - mortality
Adenocarcinoma - surgery
Aged
Aged, 80 and over
England - epidemiology
Female
Gallbladder Neoplasms - diagnostic imaging
Gallbladder Neoplasms - mortality
Gallbladder Neoplasms - surgery
Humans
Male
Middle Aged
Neoplasm Metastasis
Prognosis
Retrospective Studies
Ultrasonography
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Summary:Patients presenting with adenocarcinoma of the gallbladder within Newcastle upon Tyne over a 5 year period (1980-1985) were reviewed retrospectively. The mean age of patients on diagnosis was 74 years. Of the 29 patients diagnosed, two were detected after routine cholecystectomy. Laparotomy was performed in 21 patients (72%) of which only 14 patients had a cholecystectomy performed. Mean survival after surgery was 6.6 months with only one patient alive after 5 years. Metastatic disease was present in 72% of patients. The poor prognosis of carcinoma of the gallbladder reflects its late diagnosis and early metastasis to distant sites. Improvement in survival will depend upon early detection of in situ lesions and identification of at risk patients.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0141-0768
1758-1095
DOI:10.1177/014107689108400210