Gallbladder cancer

Gallbladder cancer
SpecialtyGastroenterology Hepatology Oncology
SymptomsAbdominal pain, Bloating, Fever, Unexplained weight loss, Nausea, Yellowing of the skin, although some people may have no symptoms
ComplicationsCancer spreading to other parts of the body
Usual onsetAbove 65 years old
TypesAdenocarcinoma (most common), Squamous cell carcinoma (more rare)
CausesUnknown
Risk factorsHistory of Gallstones and other Gallbladder diseases Smoking
Diagnostic methodBlood tests, medical imaging, examination of the Bile duct
Differential diagnosisOther types of cancer in the Digestive system
TreatmentSurgery, Radiation therapy, Chemotherapy
PrognosisFive-year survival rate ~19% (USA) (January, 2020)
Frequency~3,700 cases per year (USA)
Deaths~2,000 deaths per year (USA)

Gallbladder cancer is a relatively uncommon cancer, with an incidence of fewer than 2 cases per 100,000 people per year in the United States. It is particularly common in central and South America, central and eastern Europe, Japan and northern India; it is also common in certain ethnic groups such as Native American and Hispanic peoples. If diagnosed early enough, the cancer may be cured by removing the gallbladder, part of the liver and associated lymph nodes. However, the cancer is often only found after patients present with symptoms such as abdominal pain, jaundice and vomiting, and by then it has often spread to other organs such as the liver.

Gallbladder cancer is thought to be related to the formation of gallstones, which may lead to calcification of the gallbladder, a condition known as porcelain gallbladder. Porcelain gallbladder is also rare. Some studies indicate that people with porcelain gallbladder have a high risk of developing gallbladder cancer, but other studies question this. The outlook is poor for recovery if the cancer is found after symptoms have started to occur, with a five-year survival rate of close to 3%.