Gallbladder Cancer Flashcards
What percentage of cholecystectomy specimens are found to have gallbaldder carcinoma?
1%
Based on published data, what is the 5-year survival of patients who undergo R0 resection for gallbladder carcinoma?
16.50%
What are the most common sites of metastases from gallbladder carcinoma?
noncontinguous liver mets (91%), lung (32%), brain (5%)
What is the incidence of lymph node metastases in T2 or greater lesions?
50%
What is the appropriate surgical management of patients with T1 dusease?
simple cholecystectomy
What is the appropriate surgical management of patients with T2 dusease?
radical cholecystectomy + regional lymph node dissection (periportal, peripancreatic, and celiac nodes)
What are the recommendations for adjuvant radiation and chemotherapy?
XRT in node-positive disease and chemotherapy as a radiation-sensitizing agent following resection
What is the median survival for unresectable gallbladder carcinoma?
2-4 months