Carcinoma of the gallbladder
is associated with gallstones.
Carcinoma of the gallbladder
is the most common tumour of the gallbladder and is usually associated with the
presence of gallstones
and chronic cholecystitis.
Most cases are seen in women over the age of 70
years.
Most tumours arise in the
fundus and, histologically,are moderately differentiated adenocarcinomas.
Prognosis is poor, with a five-year survival rate of under 5%.
Infiltration of local structures, mainly the liver, makes curative surgery
difficult.
Adenocarcinoma of the
gallbladder is seen as a raised, ulcerated area in the fundus. Most tumours have
invaded through the wall at the time of diagnosis.
Spread is via lymphatics, as well as by direct growth into adjacent organs.