Gallbladder Cancer Flashcards

1
Q

What percentage of cholecystectomy specimens are found to have gallbaldder carcinoma?

A

1%

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2
Q

Based on published data, what is the 5-year survival of patients who undergo R0 resection for gallbladder carcinoma?

A

16.50%

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3
Q

What are the most common sites of metastases from gallbladder carcinoma?

A

noncontinguous liver mets (91%), lung (32%), brain (5%)

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4
Q

What is the incidence of lymph node metastases in T2 or greater lesions?

A

50%

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5
Q

What is the appropriate surgical management of patients with T1 dusease?

A

simple cholecystectomy

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6
Q

What is the appropriate surgical management of patients with T2 dusease?

A

radical cholecystectomy + regional lymph node dissection (periportal, peripancreatic, and celiac nodes)

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7
Q

What are the recommendations for adjuvant radiation and chemotherapy?

A

XRT in node-positive disease and chemotherapy as a radiation-sensitizing agent following resection

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8
Q

What is the median survival for unresectable gallbladder carcinoma?

A

2-4 months

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