Cancer of the gallbladder

Cancer of the gallbladder - a rare disease, develops with chronic cholecystitis, cholelithiasis. The tumor is located on the bottom and neck of the bladder. It is malignant. Tumor elements quickly spread in the liver, hepatic-duodenal ligament, affecting extrahepatic bile ducts. At the entrance to the liver, these formations coalesce into one dense cluster with the neck of the bladder, creating an overlap for the fork of the lobar hepatic ducts. Metastasis follows the lymphatic pathways to nearby tissues, cellulose paraaorticum, pancreas, peritoneum parietal.

Cancer of the gallbladder is divided into three categories (in terms of malignancy). It is determined when compared with a normal tissue of the gallbladder. The first degree is low, the second degree is intermediate, the third degree is high.

The prognosis of the disease is based on the degree of malignancy. The average age of patients is 50-70 years. The probability of disease in men is slightly higher than the probability of illness in women.

Risk factors are not fully determined. However, according to statistics, about 90% of the patients had stones and chronic inflammation of the organ. But the presence of stones is not a prerequisite for the occurrence of cancer. In addition to these diseases, the appearance of a tumor is facilitated by:

- cholecystitis chronic,

- obesity,

- polyps of the gallbladder,

- abuse of alcohol,

- typhoid fever,

- cholecystitis chronic,

- poor-quality food.

Cancer of the gallbladder. Symptoms

Disease of the gallbladder at first to determine difficult. Three clinical anatomical syndromes:

- bladder tumor;

- a growing liver;

- mechanical jaundice (the bladder is not enlarged).

According to observations, long-term cholelithiasis changes its character. Intervals between painful attacks disappear, pain persistent. With this previously effective treatment, she no longer lends itself. If the cholelithiasis cancer was not preceded, the cancer in the right subchondral area can speak of a cancerous tumor. (In the elderly in the first place), as well as dyspeptic phenomena (decreased appetite including).

Cancer of the gallbladder is characterized by another type of pain: pain persistent, uncertain (area of the gallbladder), nothing in common has with pain in bile colic attacks. Although the pain can be absent at all.

A serious sign for diagnosis (observed in a quarter of all cases) is palpation in the gallbladder area of a dense, sometimes bumpy, usually painless tumor. Its presence in conjunction with the complaints characteristic of this disease (especially if the pain has changed character) is a reliable symptom of cancer. Jaundice at the same time no. The disease can be accompanied by fever, explained by the ongoing inflammatory processes on the one hand, and the "cancerous fever", often observed with the growth of the tumor, on the other.

X-rays, unfortunately, do not always help confirm or disprove the alleged diagnosis. In the pictures one can only sometimes see the weak shadows of a bubble defect.

To probe the tumor it is not possible, but jaundice, augmentation of a liver, plus to all the appetite decreases, is observed ishudanie.Vozmozhno presence of a blood in a feces. With the growth of the tumor with a direction toward the liver, the liver usually increases. Blood during the study shows leukocytosis, increased ESR.

Cancer of the gallbladder can be treated if the process is not localized and is at the initial stages of development. Therefore, at the slightest signs described here (jaundice, pain, temperature), it is necessary to undergo a survey. And if the tumor is detected, it is important to determine its stage. And already being guided by a stage, the doctor can make the forecast and appoint appropriate treatment. If the form is already running, to facilitate pain, palliative treatment is carried out.