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Revista Colombiana de Cirugía

Print version ISSN 2011-7582On-line version ISSN 2619-6107

Abstract

CADAVID-CONGOTE, Andrés et al. Incidental gallbladder cancer: Incidence and associated factors in patients from an institution in the city of Medellín. rev. colomb. cir. [online]. 2024, vol.39, n.2, pp.254-259.  Epub Nov 27, 2023. ISSN 2011-7582.  https://doi.org/10.30944/20117582.2400.

Introduction:

Gallbladder cancer is one of the most common neoplasms of the bile duct and most cases are diagnosed incidentally or in advanced stages. In Colombia, there are few publications about the prevalence and clinical characteristics of patients with unsuspected gallbladder cancer. The objective of this work was to update the existing information.

Methods:

Cross-sectional study based on medical records. The incidental finding of malignant pathology reported and the histological subtype were defined as the outcome variable. Demographic, clinical and surgical variables were measured. ORs were calculated with their respective 95% CI.

Results:

Of the 2630 cases analyzed, four were diagnosed with incidental gallbladder cancer, with a prevalence of 0.15%. Characteristics associated with incidental gallbladder cancer were age, history of cancer and the presence of polyps.

Conclusions:

This is a rare pathology in the population evaluated, which allows us to recommend that it is not necessary to routinely perform more extensive presurgical studies, unless the patient presents any of the associated factors.

Keywords : gallbladder; neoplasms; incidental findings; polyps; cholecystectomy; prevalence.

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