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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
"first time"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
alpha-thalassemia
aniridia
aromatase deficiency
canavan disease
carcinoma of the gallbladder
cholangiocarcinoma
classical phenylketonuria
congenital adrenal hyperplasia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
dentinogenesis imperfecta
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
gm1 gangliosidosis
harlequin ichthyosis
heparin-induced thrombocytopenia
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
hydrocephalus with stenosis of the aqueduct of sylvius
junctional epidermolysis bullosa
kabuki syndrome
kallmann syndrome
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
megacystis-microcolon-intestinal hypoperistalsis syndrome
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
omenn syndrome
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
phenylketonuria
primary effusion lymphoma
primary hyperoxaluria type 1
severe combined immunodeficiency
sneddon syndrome
triple a syndrome
trochlear dysplasia
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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