Misdiagnosis of 35 cases of gallbladder carcinoma.doc

 PAGE \* MERGEFORMAT 7 Misdiagnosis of 35 cases of gallbladder carcinoma [Abstract] early symptoms of gallbladder cancer and more hidden, mostly in the late onset of symptoms. Gallbladder should be taken to surgery combined therapy. Early diagnosis and surgery to improve the outcome. Clinicians should raise awareness of the gallbladder. So in a timely manner found in the lesion, and take appropriate surgical method to improve the efficacy, improve outcomes, reduce the adverse consequences resulting from misdiagnosis. [Keywords:] gallbladder cancer, misdiagnosis Biliary gallbladder is a common malignancy, early and more specific without apparent symptoms, diagnosis is often difficult, and often a higher grade, progress rapidly, the prognosis is poor. Therefore, early diagnosis is particularly important to prevent misdiagnosis. We collected 41 cases of gallbladder cancer cases, 35 cases of misdiagnosis are the following analysis. 1 clinical data We collected 35 cases of misdiagnosed cases, male 12, female 23 cases, age range 34-83 years old. 1.1 The clinical symptoms and signs History from 2 weeks to 10 years (the symptoms of chronic cholecystitis, mostly for right upper quadrant pain may be associated with radiation to the back right shoulder, right upper quadrant examination may have tenderness, even palpable mass in the few cases jaundice. Abdominal pain, mass, jaundice is a diagnosis of main symptoms and signs of gallbladder carcinoma. 1.2 Pathological diagnosis 35 cases of gallbladder carcinoma cases, 28 cases of gallbladder stones. The pathological diagnosis were: adenocarcinoma in 20 cases, 6 cases of papillary adenocarcinoma, mucinous carcinoma in 4 cases, 2 cases of medullary carcinoma, squamous cell carcinoma in 3 cases . of which 57% of adenocarcinoma, high grade and poor prognosis, if early diagnosis, early treatment is of great significance. 1.3 misdiagnosed disease name Misdiagnosed as cholecystit