Early diagnosis of gallbladder cancer, gallbladder cancer insidious onset, early majority are asymptomatic. The main clinical manifestations in the upper abdomen or right upper quadrant pain, intermittent or persistent, dull pain or cramps, progressive increase. Abdominal pain may radiate to right shoulder, back, chest, etc., is sometimes difficult to distinguish with gallstone disease. Weight loss, jaundice is also more common and may have loss of appetite, weakness, nausea and vomiting. Sometimes expressed as acute or chronic cholecystitis. Right upper quadrant palpable objects account for about half of the block.
Early gallbladder lack of clinical evidence, most of the medical examination found that the gallbladder had to do B-"bulge-like lesions" when the attention. Clinically, patients with early gallbladder cancer can have a number of gastrointestinal symptoms: loss of appetite, nausea, vomiting, diarrhea, may also have right upper quadrant discomfort, which lasted for many years in the right upper quadrant pain may indicate changes in the incidence of gallbladder cancer. When the yellow plague, ascites, and mass occurs, the prompt is for advanced gallbladder carcinoma.
Early diagnosis of gallbladder carcinoma should be noted: to improve physician and patient attention to the gallbladder-related diseases. periodic screening high-risk patients (3,6 months). Examination of early B-gallbladder is the preferred, when found gallbladder polypoid change, should be dynamic observation: of tumor larger than 1 cm, age older than 60 years of age should be suspected malignant potential exists. even less than 1 cm tumor and a wide base, B Super echo uneven and should be accompanied by a high degree of cholecystitis and cholelithiasis are suspected of having malignant potential. If the recent rapid growth, or tumor mass invasion of the surrounding mucosa should consider changes in the incidence of malignant transformation. Those with chronic cholecystitis and cholelithiasis, the original or the onset of frequent exacerbations, age> 60 years should be alert to the occurrence of gallbladder cancer. With previous cholecystitis and cholelithiasis or gallbladder polyps, recent unexplained fatigue, weight loss associated with gastrointestinal symptoms should consider the possibility of gallbladder cancer, so when the above happens, surgical treatment should be as soon as possible.