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Gallbladder carcinoma incidentally encountered during laparoscopic cholecystectomy: how to deal with it.
[carcinoma of the gallbladder]
Gallbladder
cancer
(
GBC
)
,
characterised
by
rapid
progression
and
a
poor
prognosis
with
a
high
mortality
rate
,
is
a
complex
disease
to
treat
.
Incidental
gallbladder
carcinoma
(
IGBC
)
is
defined
as
carcinoma
of
the
gallbladder
suspected
for
the
first
time
during
cholecystectomy
or
accidentally
found
on
histological
examination
of
the
gallbladder
.
With
the
increasingly
widespread
acceptance
of
laparoscopic
cholecystectomy
(
LC
)
and
difficulties
in
diagnosing
GBC
preoperatively
,
the
number
of
cases
of
IGBC
during
and
after
LC
has
increased
.
However
,
management
of
IGBC
is
a
difficult
issue
in
the
absence
of
established
guidelines
.
Problems
associated
with
IGBC
related
to
LC
are
the
decisions
of
whether
,
when
and
how
to
perform
additional
surgery
.
Controversy
remains
regarding
the
effectiveness
of
additional
resection
in
different
stages
of
GBC
.
This
review
gives
an
overview
of
IGBC
related
to
LC
,
and
further
discusses
the
preoperative
,
intraoperative
and
postoperative
diagnosis
and
management
of
IGBC
during
LC
.
Diseases
Validation
Diseases presenting
"cancer"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
alpha-thalassemia
benign recurrent intrahepatic cholestasis
cadasil
canavan disease
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
heparin-induced thrombocytopenia
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
hodgkin lymphoma, classical
inclusion body myositis
junctional epidermolysis bullosa
kabuki syndrome
kallmann syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated
