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Article
November 1961

Papillary Carcinoma of the GallbladderThe Importance of Lymph Node Dissection in Early Cases

Author Affiliations

GALVESTON, TEX.

Arch Surg. 1961;83(5):657-660. doi:10.1001/archsurg.1961.01300170013004
Abstract

Although carcinoma of the gallbladder is not one of the most common malignant tumors encountered, it is by no means rare. Of all the malignant tumors of the accessory organs of digestion, carcinoma of the gallbladder ranks about fifth in incidence. It most often occurs in patients 50 to 70 years of age, and is encountered in women from 2 to 4 times more often than in men. It is encountered in about 1 % of the patients operated upon for clinically diagnosed cholecystitis.1,2 When gallstones are present, the incidence of carcinoma is between 4% and 5%.

The papillary type of adenocarcinoma makes up about 25% of the carcinoma of the gallbladder. It produces a papillary overgrowth which tends to grow within the lumen and to form a bulky, rather slow-growing tumor. It is commonly associated with necrosis and infection.

There is no reliable method of making a correct preoperative

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