Friday, September 12, 2008
Gallstone be cancerous?
Gallstone with gallbladder cancer is about 0.5 percent to 1 percent, with age, patients suffering from gallstones gallbladder cancer incidence rates were high. Gallstone larger than one centimeter, cause cancer increase, the general ideas gallstone diameter greater than 3 cm in diameter, the stone than one centimeter below, the risk of gallbladder cancer increases 10 times. About 40% to 80% of the gallbladder with gallstones, but various reports the number of large difference, Europe and the United States High, China is low, generally considered gallbladder and long-term suffering from gallstone-related, gallbladder and bile The coexistence of stone patients, most of the stones in the tumor, about 6% to 9% of cases due to acute cholecystitis in the gallbladder stoma found after gallbladder cancer, these cases have been ruled out surgery, missed the possibility. Nearly 10 years, because of the universal application of ultrasonic scanning, uplift gallbladder disease, including gallbladder polyps, cholesterol polyps, gallbladder adenoma, gallbladder muscle adenosis and early discovery of gallbladder cancer increased. In the country by the gallbladder surgery for polyps lesions and early cancer accounted for 10 percent, should bow! Sufficient attention. The poor treatment of gallbladder cancer, and therefore high-risk groups of the regular and timely follow-up treatment of precancerous lesions is to be taken by the current positive attitude. The specific contents include: (1) identify high-risk groups have gallstone patients over the age of 50-year-old, or stones larger than three centimeters, had gallbladder ostomy history, there have been family history of cancer, ulcerative colitis; (2) gallbladder wall thickening and contraction of the gallbladder in particular porcelain-like changes in the patients, the cancer incidence rate can be as high as 12.5 percent to 61.0 percent; (3) uplift of gallbladder disease patients should be regular follow-up B-, when a suspicious cases to surgery.