Should we perform surgical management in all patients with suspected porcelain gallbladder?
Kim, JH; Kim, WH; Yoo, BM; Kim, MW
Hepato-gastroenterology, 56(93):943-945, 2009
BACKGROUND/AIMS: Porcelain gallbladder has generally been regarded as a risk factor for gallbladder cancer. This study was designed to clarify the association between porcelain gallbladder and cancer by analysis of clinicopathological features of patients who underwent surgery for suspected porcelain gallbladder.
METHODOLOGY: From January 2002 to December 2008, 3159 cholecystectomies were performed at Ajou University Medical Center. Twelve patients were preoperatively diagnosed with suspected porcelain gallbladder. To examine the association between gallbladder calcification and cancer, patients who were histopathologically diagnosed with either gallbladder calcification or cancer were also reviewed.
RESULTS: According to final pathology, 44.3% of patients showed porcelain gallbladder. During the study period, calcification of gallbladder wall was identified in 9 patients (0.2%). The mean age was 54.6 +/- 15.0 years (range, 30-75). The female-to-male ratio was 3.5:1. However, preoperative porcelain gallbladder was diagnosed in 5 patients. Eight of 9 patients underwent LC, whereas the remaining one patient underwent laparoscopic-assisted distal gastrectomy. Interestingly, there was no patient with a diagnosis of both porcelain gallbladder and cancer.
CONCLUSIONS: We found that preoperative diagnosis of porcelain gallbladder was difficult. Moreover, there was no association between porcelain gallbladder and cancer. Therefore, when porcelain gallbladder is suspected, surgeons should decide operation, based on the symptoms rather than the possibility of coexistence of gallbladder cancer.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.
Total Visit :2,042,114
Total Download :865,142
Today View :502
Ajou University Medical Information & Media Center 164 Worldcup-ro Yeongtong-gu Suwon 16499 Korea / TEL : 031-219-5312 / FAX : 031-219-5314 Copyright (c) Ajou University Medical Information & Media Center All Rights Reserved. AJOU Open Repository는 국립중앙도서관 OAK 보급사업으로 구축되었습니다.