15 patients with clinical and pathological analysis of gallbladder.docVIP

 PAGE \* MERGEFORMAT 6 15 patients with clinical and pathological analysis of gallbladder [Keywords:] Clinical Pathology of Gallbladder Most gallbladder in cholecystitis, cholelithiasis, ampullary tumors or other visceral disease found incidentally during surgery. Once. Is already late, the prognosis is poor. The purpose of this paper is to study the clinical and pathological features of gallbladder, analysis of the causes of poor prognosis, risk factors. 1 Materials and methods 19 years in our hospital and diagnosed with gallbladder cancer collected 15 cases, 15 cases of gallbladder carcinoma are the original records, including general information on clinical, surgical resection and pathological records of the inspection, except 3 cases were lost, the remaining 12 cases were followed up information. 2 Results Clinical features: 15 cases, 6 males and 9 females, aged 38-81 years, mean age 58 years, in addition to 38 years old, the rest are 50 years of age. Clinical symptoms: there is no clear characteristic gallbladder symptoms and signs, the most common symptom is pain in the right upper abdomen (13 cases), the lack of exact location of pain. followed by the loss of appetite, significant weight loss (10 cases), abdominal mass, nausea and vomiting (all 12 patients, fever (8 cases), systemic jaundice (n = 9), complete resection of the gallbladder in 11 cases, partial resection l cases, 3 cases because of extensive adhesions around the transfer or not with surgery. Pathological features: occurrence site, the gallbladder neck in 7 cases, diffuse type to run in 4 cases, gallbladder bottom of the 4 cases, diffuse gallbladder wall thickening, gallbladder wall hardening in most cases, the tumor often violations of the surrounding tissue. Gallbladder mucosal surface become rough, granular, 4 cases were papillary tumor surface, tumor necrosis in five cases already. tumors as large as goose eggs from a large walnut. gallbladder stones in