Incidental Finding of Gall Bladder Carcinoma–A Retrospective Study in a Tertiary Care Hospital of Eastern India, West Bengal

Abstract

Introduction: Gall bladder carcinoma is the most common biliary tract malignancy worldwide.1Aggressive
biological nature of the tumor results in rapid spread of the tumor to adjoining vital structures since the
GB is located in an anatomically busy area.1
The tumor is thus, often unresectable at presentation.In this
retrospective study we aimed to establish the overall rate of unsuspected gallbladder carcinoma in all
cholecystectomy specimens in a tertiary care hospital in the eastern part of India.
Material and Method: In our study we have reviewed the clinical records of consecutive 731Cholecystectomy
specimens during the last 5 Years (2014May-2019April) .A uniform procedure of history taking,physical
examination, investigation and treatment adopted for all the patients.Diagnosis of Incidental gall bladder
carcinoma was confirmed on microscopic examination.
Results: During the last 5 years, 731 cholecystectomies were performed in this tertiary care hospital. Out
of them 65.43% was from female population whereas 34.57% were from male. Median age of the patient
population is around 55± 9.34 years.Most of the approaches were laparotomy.Evaluation of the all pathologic
specimen revealed 74 cases of gall bladder carcinoma which comprises 10.12% of all the cholecystectomies
done in that aforesaid period.
Conclusions: The findings of Incidental gall bladder carcinoma is a clinical problematic scenario which
often misses the eye of a radiologist and comes as a histopathological surprise. Microscopical examination
of all cholecystectomy specimen should be done because it is not only the gold standard diagnostic method
but also reveals the occult malignancy at the earliest.