Gallbladder Cancer

Which countries have a high annual incidence of gallbladder cancer?

• Bolivia, Chile, Pakistan, India, and Poland

• United States, Canada, Australia, Germany, and Japan

• China, Russia, Brazil, South Africa, and Egypt

• France, Italy, Spain, Greece, and Turkey

Which of the following is one of the strongest risk factors for gallbladder cancer?

• Smoking

• Gallstones

• Diabetes

• Hypertension

The risk of carcinoma rises with increased stone size.

• True

• False

Stones larger than ____ cm had a tenfold increased risk of gallbladder cancer compared to a stone less than 1 cm.

• 3

• 1.5

• 2

• 4.5

Which gender is listed as a risk factor for gallbladder cancer?

• Male

• Female

• Both

• Neither

Gallbladder carcinomas may be difficult to grossly differentiate from _________

• chronic cholecystitis

• acute appendicitis

• pancreatic cysts

• hepatocellular adenoma

How are gallbladder carcinomas usually diagnosed?

• Via preop incidental finding on imaging, incidentally during preop workup, intraop or postop from path results

• By routine blood tests only

• Through physical examination alone

• By patient-reported symptoms exclusively

What are some complaints associated with gallbladder carcinomas due to tumor obstruction of the extrahepatic biliary tree?

• Weight loss, malaise, jaundice

• Fever, cough, hemoptysis

• Polyuria, polydipsia, weight gain

• Headache, visual disturbances, seizures

Are labs like liver panel and tumor markers considered diagnostic?

• True

• False

Which of the following are important imaging modalities mentioned for diagnostic evaluation?

• US, MRI, CT

• X-ray, PET, SPECT

• Ultrasound, X-ray, PET

• MRI, SPECT, CT