Clinical study on relationship between gallbladder carcinoma and gallstone / 中国普通外科杂志

ABSTRACT

Objective　To investigate the risk factors of gallbladder stone changing to gallbladder carcinoma. Methods　The clinical data of 200 patients with gallbladder stone undergoing operation were retrospective analysed. Results　(1) In the 200 resected gallbladder specimens, gallbladder mucosa hyperplasia was found in 144 specimens(72%), atypical hyperplasia(AHP) in 38(19%), infiltrative cancer in 7(3.5%). All the paracancer mucosa had midder or severe AHP. The incidence of atypical hyperplasia and canceration had increased with patients' age and the history lenth of cyst stone. (2) The content of DNA, the porpotion of euplpoid cells, the AgNOR content in tissues as follows hyperplasia<mild AHP<midder AHP<severe AHP<canceration. Conclusions　The results of this study indicate that the canceration of gallbladder from cyst stone may be a chronic process which from hyperplasia→AHP→canceration. So the risk factors of canceration including age≥50 years; long term history of cyst stone, espically in women; that for cases of cyst stone with age≥50 years, more long term history, especially in women, therefore periodical examinations should be done, and preventive cholecystectomy should be performed if necessary.