EPIDEMIOLOGY OF CARCINOMA GALL BLADDER ATTENDING RADIOTHERAPY DEPARTMENT OF A MULTISPECIALITY HOSPITAL DURING 2015-2017

Saptarshi Banerjee, Subir Pal

Abstract


Gallbladder cancer is the most common malignancy of the biliary tract. Various epidemiological reviews have reported that incidence of Gall Bladder Cancer varies geographically, with highest incidence in Chile. Gall bladder cancer is a common cancer in the northern and Northeastern States of India and rare in southern part.Females are affected 2-6 times more than male. Cholelithiasis is one of the major risk factors associated with gall bladder carcinoma. Objective of this study is to find the epidemiological pattern of carcinoma gall bladder attending to a tertiary centre, during a span of 2 years. This study included all patients with carcinoma gall bladder attending to the department of radiotherapy, of a multispeciality hospital, in Kolkata, West Bengal, India, during the period from June 2015 to May 2017. The male-female variation, age distribution, main symptoms, presence of associated gall stones, mode of diagnosis (incidental/ non incidental), stage at diagnosis, and performance status of the patients were recorded. During the 2 years duration, from June 2015 to May 2017, total 177 patients of gall bladder carcinomas attended our department. Maximum patients are of fifth and sixth decade. Among them 136 are female and 41 are male. Male female ratio is 1: 3.32. Among these 177 patients 169 patients presented with co-existent gall stone and 8 patients without stone. So the percentage of co-existent gall stone disease in gall bladder cancers in this study is 95.48%. Maximum patients presented with abdominal pain (98) and considerable amount with jaundice (49). 10.7% patients were diagnosed incidentally during or after cholecystectomy for gall stone. Maximum patients of gall bladder carcinoma were in diagnosed in advanced stage.

Keywords


gall bladder carcinoma, epidemiology, gall stone

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References


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