Skip to main content
Annals of Surgery logoLink to Annals of Surgery
. 1974 Aug;180(2):180–184. doi: 10.1097/00000658-197408000-00009

Primary Carcinoma of the Gallbladder

William R Beltz, Robert E Condon
PMCID: PMC1343635  PMID: 4842979

Abstract

One-hundred-and-seventeen patients with histologically proven carcinoma of the gallbladder are reviewed. The majority of the patients presented with advanced disease with extension and metastasis to the liver and to lymph nodes along the common bile duct. Four patients had localized disease recognized at the time of operation; two were treated with cholecystectomy and two with cholecystectomy and hepatic resection. There were no five-year survivals among these patients. Fourteen patients had clinically inapparent carcinoma at the time of cholecystectomy; the diagnosis being established postoperatively by histologic examination of the excised gallbladder. There were two five-year survivors in this group of patients. Both survivors had early papillary carcinoma confined to the gallbladder wall. The remaining patients with inapparent carcinoma died within three years of the time of operation with recurrent carcinoma. The present report and review of the recent literature emphasizes the poor prognosis associated with carcinoma of the gallbladder. Even with apparently localized lesions, the survival rate is extremely poor. Extended resection, while not of proven value, may improve the survival rate.

Full text

PDF
180

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. APPLEMAN R. M., MORLOCK C. G., DAHLIN D. C., ADSON M. A. LONG TERM SURVIVAL IN CARCINOMA OF THE GALLBLADDER. Surg Gynecol Obstet. 1963 Oct;117:459–464. [PubMed] [Google Scholar]
  2. Andrews E. C., Bennett D. E., Arhelger R. B. Carcinoma of the gallbladder: report of 45 cases. South Med J. 1969 May;62(5):573–578. doi: 10.1097/00007611-196905000-00017. [DOI] [PubMed] [Google Scholar]
  3. CHANDLER J. J., FLETCHER W. S. A CLINICAL STUDY OF PRIMARY CARCINOMA OF THE GALLBLADDER. Surg Gynecol Obstet. 1963 Sep;117:297–300. [PubMed] [Google Scholar]
  4. FAHIM R. B., McDONALD J. R., RICHARDS J. C., FERRIS D. O. Carcinoma of the gallbladder: a study of its modes of spread. Ann Surg. 1962 Jul;156:114–124. doi: 10.1097/00000658-196207000-00021. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Frank S. A., Spjut H. J. Inapparent carcinoma of the gallbladder. Am Surg. 1967 May;33(5):367–372. [PubMed] [Google Scholar]
  6. GERST P. H. Primary carcinoma of the gallbladder. A thirty-year summary. Ann Surg. 1961 Mar;153:369–372. doi: 10.1097/00000658-196103000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. GLENN F. Gallstones without clinical symptoms. Ann Surg. 1957 Jan;145(1):143–144. doi: 10.1097/00000658-195701000-00019. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. GLENN F., HAYS D. M. The scope of radical surgery in the treatment of malignant tumors of the extrahepatic biliary tract. Surg Gynecol Obstet. 1954 Nov;99(5):529–541. [PubMed] [Google Scholar]
  9. Gradisar I. A., Kelly T. R. Primary carcinoma of the gallbladder. Arch Surg. 1970 Mar;100(3):232–235. doi: 10.1001/archsurg.1970.01340210008003. [DOI] [PubMed] [Google Scholar]
  10. Hart J., Modan B., Hashomer T. Factors affecting survival of patients with gallbladder neoplasms. Arch Intern Med. 1972 Jun;129(6):931–934. [PubMed] [Google Scholar]
  11. Hart J., Modan B., Shani M. Cholelithiasis in the aetiology of gallbladder neoplasms. Lancet. 1971 Jun 5;1(7710):1151–1153. doi: 10.1016/s0140-6736(71)91661-8. [DOI] [PubMed] [Google Scholar]
  12. KHILNANI M. T., WOLF B. S., FINKEL M. Roentgen features of carcinoma of the gallbladder on barium-meal examination. Radiology. 1962 Aug;79:264–273. doi: 10.1148/79.2.264. [DOI] [PubMed] [Google Scholar]
  13. Klein J. B., Finck F. M. Primary carcinoma of the gallbladder. Review of 28 cases. Arch Surg. 1972 Jun;104(6):769–772. doi: 10.1001/archsurg.1972.04180060019004. [DOI] [PubMed] [Google Scholar]
  14. LUND J. Surgical indications in cholelithiasis: prophylactic choleithiasis: prophylactic cholecystectomy elucidated on the basis of long-term follow up on 526 nonoperated cases. Ann Surg. 1960 Feb;151:153–162. doi: 10.1097/00000658-196002000-00001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Litwin M. S. Primary carcinoma of the gallbladder. A review of 78 patients. Arch Surg. 1967 Aug;95(2):236–240. doi: 10.1001/archsurg.1967.01330140074017. [DOI] [PubMed] [Google Scholar]
  16. MARCIAL-ROJAS R. A., MEDINA R. Unsuspected carcinoma of the gallbladder in acute and chronic cholecystitis. Ann Surg. 1961 Feb;153:289–298. doi: 10.1097/00000658-196102000-00018. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. MITMAKER B., MARGOLESE R., GUTTMAN F., BALLON H. C. GALLBLADDER CARCINOMA ASSOCIATED WITH CHOLELITHIASIS: SURGICAL IMPLICATIONS. J Am Geriatr Soc. 1964 Feb;12:180–187. doi: 10.1111/j.1532-5415.1964.tb00350.x. [DOI] [PubMed] [Google Scholar]
  18. MOORING S. L. Radiologic findings in primary carcinoma of the gallbladder. N C Med J. 1961 Dec;22:592–600. [PubMed] [Google Scholar]
  19. Pemberton L. B., Diffenbaugh W. F., Strohl E. L. The surgical significance of carcinoma of the gallbladder. Am J Surg. 1971 Sep;122(3):381–383. doi: 10.1016/0002-9610(71)90263-7. [DOI] [PubMed] [Google Scholar]
  20. Ram M. D. Carcinoma of the gallbladder. Surg Gynecol Obstet. 1971 Jun;132(6):1044–1048. [PubMed] [Google Scholar]
  21. SAWYER C. D., MINNIS J. F., Jr Primary carcinoma of the gallbladder. Am J Surg. 1956 Jan;91(1):99–105. doi: 10.1016/0002-9610(56)90142-8. [DOI] [PubMed] [Google Scholar]
  22. STRAUCH G. O. Primary carcinoma of the gall bladder: presentation of seventy cases from the Rhode Island Hospital and a cumulative review of the last ten years of the American literature. Surgery. 1960 Mar;47:368–383. [PubMed] [Google Scholar]
  23. Salwan F., Backiel L., Naji A. F. Primary carcinoma of the gallbladder. Ohio State Med J. 1971 Jan;67(1):47–51. [PubMed] [Google Scholar]
  24. THORBJARNARSON B., GLENN F. Carcinoma of the gallbladder. Cancer. 1959 Sep-Oct;12:1009–1015. doi: 10.1002/1097-0142(195909/10)12:5<1009::aid-cncr2820120522>3.0.co;2-y. [DOI] [PubMed] [Google Scholar]
  25. Tanga M. R., Ewing J. B. Unusual manifestations of carcinoma of the gallbladder. Int Surg. 1970 Jan;53(1):44–47. [PubMed] [Google Scholar]
  26. Wenckert A., Robertson B. The natural course of gallstone disease: eleven-year review of 781 nonoperated cases. Gastroenterology. 1966 Mar;50(3):376–381. [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES