Routine examination of gallbladder specimens after cholecystectomy: a single-centre analysis of the incidence, clinical and histopathological aspects of incidental gallbladder carcinoma
Background Gallbladder carcinoma is often found incidentally on histopathologic examination after cholecystectomy—this is referred as incidental gallbladder carcinoma (IGC). Routine vs selective histopathological assessment of gallbladders is under debate and this study evaluates the role of regular...
Ausführliche Beschreibung
Autor*in: |
Di Mauro, Davide [verfasserIn] Orabi, Amira [verfasserIn] Myintmo, Aye [verfasserIn] Reece-Smith, Alex [verfasserIn] Wajed, Shahjehan [verfasserIn] Manzelli, Antonio [verfasserIn] |
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Englisch |
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2021 |
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Übergeordnetes Werk: |
Enthalten in: Hormones and cancer - New York, NY [u.a.] : Springer, 2010, 12(2021), 1 vom: 15. Feb. |
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Übergeordnetes Werk: |
volume:12 ; year:2021 ; number:1 ; day:15 ; month:02 |
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DOI / URN: |
10.1007/s12672-021-00399-5 |
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Katalog-ID: |
SPR043187102 |
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520 | |a Background Gallbladder carcinoma is often found incidentally on histopathologic examination after cholecystectomy—this is referred as incidental gallbladder carcinoma (IGC). Routine vs selective histopathological assessment of gallbladders is under debate and this study evaluates the role of regular specimens’ examination, based on a single-centre analysis of incidence, clinical and histopathological aspects of IGC. Methods Patients who underwent cholecystectomy, between July 2010 and January 2020, were considered. Exclusion criteria were age under 18 and preoperative diagnosis of GB carcinoma. Demographic, clinical and histopathological data were retrospectively collected, continuous variables with a normal distribution were evaluated with Student’s t-test and ANOVA. Results Some 5779 patients were included. The female/male ratio was 2.5:1. Chronic cholecystitis (CC) was the most common finding on specimens (99.3%), IGC was found in six cases (0.1%). In the latter group, there were 5 women and patients were older than those with benign disease—73.7 %$\pm%$ 5.38 years vs 55.8 %$\pm%$ 0.79 years (p < 0.05). In all the cases, the GB was abnormal on intraoperative inspection and beside cancer, histopathology showed associated CC and/or dysplasia. Upon diagnosis, disease was at advanced stage—one stage II, one stage IIIA, one stage IIIB, three stage IVA. Two patients are alive, three died of disease progression—median survival was 7 months (range 2–14). Conclusions In this series, ICG was rare, occurred most commonly in old adult women and was diagnosed at an advanced stage. In all the cases, the GB was abnormal intraoperatively, therefore macroscopic GB anomalies demand histopathological assessment of the specimen. | ||
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10.1007/s12672-021-00399-5 doi (DE-627)SPR043187102 (DE-599)SPRs12672-021-00399-5-e (SPR)s12672-021-00399-5-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE Di Mauro, Davide verfasserin aut Routine examination of gallbladder specimens after cholecystectomy: a single-centre analysis of the incidence, clinical and histopathological aspects of incidental gallbladder carcinoma 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Gallbladder carcinoma is often found incidentally on histopathologic examination after cholecystectomy—this is referred as incidental gallbladder carcinoma (IGC). Routine vs selective histopathological assessment of gallbladders is under debate and this study evaluates the role of regular specimens’ examination, based on a single-centre analysis of incidence, clinical and histopathological aspects of IGC. Methods Patients who underwent cholecystectomy, between July 2010 and January 2020, were considered. Exclusion criteria were age under 18 and preoperative diagnosis of GB carcinoma. Demographic, clinical and histopathological data were retrospectively collected, continuous variables with a normal distribution were evaluated with Student’s t-test and ANOVA. Results Some 5779 patients were included. The female/male ratio was 2.5:1. Chronic cholecystitis (CC) was the most common finding on specimens (99.3%), IGC was found in six cases (0.1%). In the latter group, there were 5 women and patients were older than those with benign disease—73.7 %$\pm%$ 5.38 years vs 55.8 %$\pm%$ 0.79 years (p < 0.05). In all the cases, the GB was abnormal on intraoperative inspection and beside cancer, histopathology showed associated CC and/or dysplasia. Upon diagnosis, disease was at advanced stage—one stage II, one stage IIIA, one stage IIIB, three stage IVA. Two patients are alive, three died of disease progression—median survival was 7 months (range 2–14). Conclusions In this series, ICG was rare, occurred most commonly in old adult women and was diagnosed at an advanced stage. In all the cases, the GB was abnormal intraoperatively, therefore macroscopic GB anomalies demand histopathological assessment of the specimen. Gallbladder cancer (dpeaa)DE-He213 Analysis (dpeaa)DE-He213 Histopathological examination (dpeaa)DE-He213 Survival (dpeaa)DE-He213 Orabi, Amira verfasserin aut Myintmo, Aye verfasserin aut Reece-Smith, Alex verfasserin aut Wajed, Shahjehan verfasserin aut Manzelli, Antonio verfasserin aut Enthalten in Hormones and cancer New York, NY [u.a.] : Springer, 2010 12(2021), 1 vom: 15. Feb. (DE-627)621547379 (DE-600)2543318-0 1868-8500 nnns volume:12 year:2021 number:1 day:15 month:02 https://dx.doi.org/10.1007/s12672-021-00399-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_120 AR 12 2021 1 15 02 |
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10.1007/s12672-021-00399-5 doi (DE-627)SPR043187102 (DE-599)SPRs12672-021-00399-5-e (SPR)s12672-021-00399-5-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE Di Mauro, Davide verfasserin aut Routine examination of gallbladder specimens after cholecystectomy: a single-centre analysis of the incidence, clinical and histopathological aspects of incidental gallbladder carcinoma 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Gallbladder carcinoma is often found incidentally on histopathologic examination after cholecystectomy—this is referred as incidental gallbladder carcinoma (IGC). Routine vs selective histopathological assessment of gallbladders is under debate and this study evaluates the role of regular specimens’ examination, based on a single-centre analysis of incidence, clinical and histopathological aspects of IGC. Methods Patients who underwent cholecystectomy, between July 2010 and January 2020, were considered. Exclusion criteria were age under 18 and preoperative diagnosis of GB carcinoma. Demographic, clinical and histopathological data were retrospectively collected, continuous variables with a normal distribution were evaluated with Student’s t-test and ANOVA. Results Some 5779 patients were included. The female/male ratio was 2.5:1. Chronic cholecystitis (CC) was the most common finding on specimens (99.3%), IGC was found in six cases (0.1%). In the latter group, there were 5 women and patients were older than those with benign disease—73.7 %$\pm%$ 5.38 years vs 55.8 %$\pm%$ 0.79 years (p < 0.05). In all the cases, the GB was abnormal on intraoperative inspection and beside cancer, histopathology showed associated CC and/or dysplasia. Upon diagnosis, disease was at advanced stage—one stage II, one stage IIIA, one stage IIIB, three stage IVA. Two patients are alive, three died of disease progression—median survival was 7 months (range 2–14). Conclusions In this series, ICG was rare, occurred most commonly in old adult women and was diagnosed at an advanced stage. In all the cases, the GB was abnormal intraoperatively, therefore macroscopic GB anomalies demand histopathological assessment of the specimen. Gallbladder cancer (dpeaa)DE-He213 Analysis (dpeaa)DE-He213 Histopathological examination (dpeaa)DE-He213 Survival (dpeaa)DE-He213 Orabi, Amira verfasserin aut Myintmo, Aye verfasserin aut Reece-Smith, Alex verfasserin aut Wajed, Shahjehan verfasserin aut Manzelli, Antonio verfasserin aut Enthalten in Hormones and cancer New York, NY [u.a.] : Springer, 2010 12(2021), 1 vom: 15. Feb. (DE-627)621547379 (DE-600)2543318-0 1868-8500 nnns volume:12 year:2021 number:1 day:15 month:02 https://dx.doi.org/10.1007/s12672-021-00399-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_120 AR 12 2021 1 15 02 |
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10.1007/s12672-021-00399-5 doi (DE-627)SPR043187102 (DE-599)SPRs12672-021-00399-5-e (SPR)s12672-021-00399-5-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE Di Mauro, Davide verfasserin aut Routine examination of gallbladder specimens after cholecystectomy: a single-centre analysis of the incidence, clinical and histopathological aspects of incidental gallbladder carcinoma 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Gallbladder carcinoma is often found incidentally on histopathologic examination after cholecystectomy—this is referred as incidental gallbladder carcinoma (IGC). Routine vs selective histopathological assessment of gallbladders is under debate and this study evaluates the role of regular specimens’ examination, based on a single-centre analysis of incidence, clinical and histopathological aspects of IGC. Methods Patients who underwent cholecystectomy, between July 2010 and January 2020, were considered. Exclusion criteria were age under 18 and preoperative diagnosis of GB carcinoma. Demographic, clinical and histopathological data were retrospectively collected, continuous variables with a normal distribution were evaluated with Student’s t-test and ANOVA. Results Some 5779 patients were included. The female/male ratio was 2.5:1. Chronic cholecystitis (CC) was the most common finding on specimens (99.3%), IGC was found in six cases (0.1%). In the latter group, there were 5 women and patients were older than those with benign disease—73.7 %$\pm%$ 5.38 years vs 55.8 %$\pm%$ 0.79 years (p < 0.05). In all the cases, the GB was abnormal on intraoperative inspection and beside cancer, histopathology showed associated CC and/or dysplasia. Upon diagnosis, disease was at advanced stage—one stage II, one stage IIIA, one stage IIIB, three stage IVA. Two patients are alive, three died of disease progression—median survival was 7 months (range 2–14). Conclusions In this series, ICG was rare, occurred most commonly in old adult women and was diagnosed at an advanced stage. In all the cases, the GB was abnormal intraoperatively, therefore macroscopic GB anomalies demand histopathological assessment of the specimen. Gallbladder cancer (dpeaa)DE-He213 Analysis (dpeaa)DE-He213 Histopathological examination (dpeaa)DE-He213 Survival (dpeaa)DE-He213 Orabi, Amira verfasserin aut Myintmo, Aye verfasserin aut Reece-Smith, Alex verfasserin aut Wajed, Shahjehan verfasserin aut Manzelli, Antonio verfasserin aut Enthalten in Hormones and cancer New York, NY [u.a.] : Springer, 2010 12(2021), 1 vom: 15. Feb. (DE-627)621547379 (DE-600)2543318-0 1868-8500 nnns volume:12 year:2021 number:1 day:15 month:02 https://dx.doi.org/10.1007/s12672-021-00399-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_120 AR 12 2021 1 15 02 |
allfieldsGer |
10.1007/s12672-021-00399-5 doi (DE-627)SPR043187102 (DE-599)SPRs12672-021-00399-5-e (SPR)s12672-021-00399-5-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE Di Mauro, Davide verfasserin aut Routine examination of gallbladder specimens after cholecystectomy: a single-centre analysis of the incidence, clinical and histopathological aspects of incidental gallbladder carcinoma 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Gallbladder carcinoma is often found incidentally on histopathologic examination after cholecystectomy—this is referred as incidental gallbladder carcinoma (IGC). Routine vs selective histopathological assessment of gallbladders is under debate and this study evaluates the role of regular specimens’ examination, based on a single-centre analysis of incidence, clinical and histopathological aspects of IGC. Methods Patients who underwent cholecystectomy, between July 2010 and January 2020, were considered. Exclusion criteria were age under 18 and preoperative diagnosis of GB carcinoma. Demographic, clinical and histopathological data were retrospectively collected, continuous variables with a normal distribution were evaluated with Student’s t-test and ANOVA. Results Some 5779 patients were included. The female/male ratio was 2.5:1. Chronic cholecystitis (CC) was the most common finding on specimens (99.3%), IGC was found in six cases (0.1%). In the latter group, there were 5 women and patients were older than those with benign disease—73.7 %$\pm%$ 5.38 years vs 55.8 %$\pm%$ 0.79 years (p < 0.05). In all the cases, the GB was abnormal on intraoperative inspection and beside cancer, histopathology showed associated CC and/or dysplasia. Upon diagnosis, disease was at advanced stage—one stage II, one stage IIIA, one stage IIIB, three stage IVA. Two patients are alive, three died of disease progression—median survival was 7 months (range 2–14). Conclusions In this series, ICG was rare, occurred most commonly in old adult women and was diagnosed at an advanced stage. In all the cases, the GB was abnormal intraoperatively, therefore macroscopic GB anomalies demand histopathological assessment of the specimen. Gallbladder cancer (dpeaa)DE-He213 Analysis (dpeaa)DE-He213 Histopathological examination (dpeaa)DE-He213 Survival (dpeaa)DE-He213 Orabi, Amira verfasserin aut Myintmo, Aye verfasserin aut Reece-Smith, Alex verfasserin aut Wajed, Shahjehan verfasserin aut Manzelli, Antonio verfasserin aut Enthalten in Hormones and cancer New York, NY [u.a.] : Springer, 2010 12(2021), 1 vom: 15. Feb. (DE-627)621547379 (DE-600)2543318-0 1868-8500 nnns volume:12 year:2021 number:1 day:15 month:02 https://dx.doi.org/10.1007/s12672-021-00399-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_120 AR 12 2021 1 15 02 |
allfieldsSound |
10.1007/s12672-021-00399-5 doi (DE-627)SPR043187102 (DE-599)SPRs12672-021-00399-5-e (SPR)s12672-021-00399-5-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE Di Mauro, Davide verfasserin aut Routine examination of gallbladder specimens after cholecystectomy: a single-centre analysis of the incidence, clinical and histopathological aspects of incidental gallbladder carcinoma 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Gallbladder carcinoma is often found incidentally on histopathologic examination after cholecystectomy—this is referred as incidental gallbladder carcinoma (IGC). Routine vs selective histopathological assessment of gallbladders is under debate and this study evaluates the role of regular specimens’ examination, based on a single-centre analysis of incidence, clinical and histopathological aspects of IGC. Methods Patients who underwent cholecystectomy, between July 2010 and January 2020, were considered. Exclusion criteria were age under 18 and preoperative diagnosis of GB carcinoma. Demographic, clinical and histopathological data were retrospectively collected, continuous variables with a normal distribution were evaluated with Student’s t-test and ANOVA. Results Some 5779 patients were included. The female/male ratio was 2.5:1. Chronic cholecystitis (CC) was the most common finding on specimens (99.3%), IGC was found in six cases (0.1%). In the latter group, there were 5 women and patients were older than those with benign disease—73.7 %$\pm%$ 5.38 years vs 55.8 %$\pm%$ 0.79 years (p < 0.05). In all the cases, the GB was abnormal on intraoperative inspection and beside cancer, histopathology showed associated CC and/or dysplasia. Upon diagnosis, disease was at advanced stage—one stage II, one stage IIIA, one stage IIIB, three stage IVA. Two patients are alive, three died of disease progression—median survival was 7 months (range 2–14). Conclusions In this series, ICG was rare, occurred most commonly in old adult women and was diagnosed at an advanced stage. In all the cases, the GB was abnormal intraoperatively, therefore macroscopic GB anomalies demand histopathological assessment of the specimen. Gallbladder cancer (dpeaa)DE-He213 Analysis (dpeaa)DE-He213 Histopathological examination (dpeaa)DE-He213 Survival (dpeaa)DE-He213 Orabi, Amira verfasserin aut Myintmo, Aye verfasserin aut Reece-Smith, Alex verfasserin aut Wajed, Shahjehan verfasserin aut Manzelli, Antonio verfasserin aut Enthalten in Hormones and cancer New York, NY [u.a.] : Springer, 2010 12(2021), 1 vom: 15. Feb. (DE-627)621547379 (DE-600)2543318-0 1868-8500 nnns volume:12 year:2021 number:1 day:15 month:02 https://dx.doi.org/10.1007/s12672-021-00399-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_120 AR 12 2021 1 15 02 |
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Enthalten in Hormones and cancer 12(2021), 1 vom: 15. Feb. volume:12 year:2021 number:1 day:15 month:02 |
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Routine examination of gallbladder specimens after cholecystectomy: a single-centre analysis of the incidence, clinical and histopathological aspects of incidental gallbladder carcinoma |
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routine examination of gallbladder specimens after cholecystectomy: a single-centre analysis of the incidence, clinical and histopathological aspects of incidental gallbladder carcinoma |
title_auth |
Routine examination of gallbladder specimens after cholecystectomy: a single-centre analysis of the incidence, clinical and histopathological aspects of incidental gallbladder carcinoma |
abstract |
Background Gallbladder carcinoma is often found incidentally on histopathologic examination after cholecystectomy—this is referred as incidental gallbladder carcinoma (IGC). Routine vs selective histopathological assessment of gallbladders is under debate and this study evaluates the role of regular specimens’ examination, based on a single-centre analysis of incidence, clinical and histopathological aspects of IGC. Methods Patients who underwent cholecystectomy, between July 2010 and January 2020, were considered. Exclusion criteria were age under 18 and preoperative diagnosis of GB carcinoma. Demographic, clinical and histopathological data were retrospectively collected, continuous variables with a normal distribution were evaluated with Student’s t-test and ANOVA. Results Some 5779 patients were included. The female/male ratio was 2.5:1. Chronic cholecystitis (CC) was the most common finding on specimens (99.3%), IGC was found in six cases (0.1%). In the latter group, there were 5 women and patients were older than those with benign disease—73.7 %$\pm%$ 5.38 years vs 55.8 %$\pm%$ 0.79 years (p < 0.05). In all the cases, the GB was abnormal on intraoperative inspection and beside cancer, histopathology showed associated CC and/or dysplasia. Upon diagnosis, disease was at advanced stage—one stage II, one stage IIIA, one stage IIIB, three stage IVA. Two patients are alive, three died of disease progression—median survival was 7 months (range 2–14). Conclusions In this series, ICG was rare, occurred most commonly in old adult women and was diagnosed at an advanced stage. In all the cases, the GB was abnormal intraoperatively, therefore macroscopic GB anomalies demand histopathological assessment of the specimen. |
abstractGer |
Background Gallbladder carcinoma is often found incidentally on histopathologic examination after cholecystectomy—this is referred as incidental gallbladder carcinoma (IGC). Routine vs selective histopathological assessment of gallbladders is under debate and this study evaluates the role of regular specimens’ examination, based on a single-centre analysis of incidence, clinical and histopathological aspects of IGC. Methods Patients who underwent cholecystectomy, between July 2010 and January 2020, were considered. Exclusion criteria were age under 18 and preoperative diagnosis of GB carcinoma. Demographic, clinical and histopathological data were retrospectively collected, continuous variables with a normal distribution were evaluated with Student’s t-test and ANOVA. Results Some 5779 patients were included. The female/male ratio was 2.5:1. Chronic cholecystitis (CC) was the most common finding on specimens (99.3%), IGC was found in six cases (0.1%). In the latter group, there were 5 women and patients were older than those with benign disease—73.7 %$\pm%$ 5.38 years vs 55.8 %$\pm%$ 0.79 years (p < 0.05). In all the cases, the GB was abnormal on intraoperative inspection and beside cancer, histopathology showed associated CC and/or dysplasia. Upon diagnosis, disease was at advanced stage—one stage II, one stage IIIA, one stage IIIB, three stage IVA. Two patients are alive, three died of disease progression—median survival was 7 months (range 2–14). Conclusions In this series, ICG was rare, occurred most commonly in old adult women and was diagnosed at an advanced stage. In all the cases, the GB was abnormal intraoperatively, therefore macroscopic GB anomalies demand histopathological assessment of the specimen. |
abstract_unstemmed |
Background Gallbladder carcinoma is often found incidentally on histopathologic examination after cholecystectomy—this is referred as incidental gallbladder carcinoma (IGC). Routine vs selective histopathological assessment of gallbladders is under debate and this study evaluates the role of regular specimens’ examination, based on a single-centre analysis of incidence, clinical and histopathological aspects of IGC. Methods Patients who underwent cholecystectomy, between July 2010 and January 2020, were considered. Exclusion criteria were age under 18 and preoperative diagnosis of GB carcinoma. Demographic, clinical and histopathological data were retrospectively collected, continuous variables with a normal distribution were evaluated with Student’s t-test and ANOVA. Results Some 5779 patients were included. The female/male ratio was 2.5:1. Chronic cholecystitis (CC) was the most common finding on specimens (99.3%), IGC was found in six cases (0.1%). In the latter group, there were 5 women and patients were older than those with benign disease—73.7 %$\pm%$ 5.38 years vs 55.8 %$\pm%$ 0.79 years (p < 0.05). In all the cases, the GB was abnormal on intraoperative inspection and beside cancer, histopathology showed associated CC and/or dysplasia. Upon diagnosis, disease was at advanced stage—one stage II, one stage IIIA, one stage IIIB, three stage IVA. Two patients are alive, three died of disease progression—median survival was 7 months (range 2–14). Conclusions In this series, ICG was rare, occurred most commonly in old adult women and was diagnosed at an advanced stage. In all the cases, the GB was abnormal intraoperatively, therefore macroscopic GB anomalies demand histopathological assessment of the specimen. |
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Routine examination of gallbladder specimens after cholecystectomy: a single-centre analysis of the incidence, clinical and histopathological aspects of incidental gallbladder carcinoma |
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https://dx.doi.org/10.1007/s12672-021-00399-5 |
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Orabi, Amira Myintmo, Aye Reece-Smith, Alex Wajed, Shahjehan Manzelli, Antonio |
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