Dr. Soumil J Vyas Best Gall Bladder Cancer Surgeon In Mumbai. Gall bladder cancer is the 5th most common digestive cancer. In India, its found in higher frequency in Northern India. Sometimes cancer in the gall bladder is accidentally detected on gall bladders removed for gall stone disease (incidental gall bladder cancer). Removal of the gall bladder is a very common operation. Rarely there can be cancer discovered on pathological examination of the gall bladder. These patients will then need a definitive treatment and further surgery for complete removal of cancer.
Incidental Gall Bladder Cancer
Only 30% of all gall bladder cancers are discovered preoperatively (non incidental). The patient may present with vague symptoms including pain, vommiting, weight loss, jaundice.
When further investigated with ultrasound and further tests, the diagnosis can be made.
Accurate diagnosis of gall bladder cancer is made on CT scanning. Further imaging (PET-CT) will be required to rule out metastases. CT scan is an accurate modality to stage the disease and define further treatment which is stage dependant.
Surgery is the only definitive treatment with potential for cure - for gall bladder cancer. Hence wherever possible, surgery should be done
Furthermore, surgery is only done, when the cancer has remain localised to the gall bladder and the surrounding structures including regional lymph nodes and has not extensively spread to either within the abdomen or elsewhere.
Since the gall bladder resides at the base of the liver - surgery for gall bladder cancer involves
Sometimes more extensive surgery will be required to remove the cancer.
Surgery remains the cornerstone of management of gall bladder cancer. However chemotherapy does have a role in treatment and would be required following surgery. Chemotherapy is also sometimes required preoperatively prior to surgery.