1996 Volume 57 Issue 10 Pages 2390-2396
We have studied 53 resected cases of gallbladder carcinoma to clarify prognosis-regulating factors. All pathologic factors including dysplasia were examined first in 3 groups categorized according to depth of invasion, then in ss-cancer-group, where further consideration was given in relation to survival rates. The probability of finding dysplasia was higher as invasion was less severe (p<0.01). As for ss-cancergroup study, the results were as follows: outcome was significantly worse in cases of positive lymphatic invasion (p<0.05), positive bile duct invasion (p<0.01). and extensive subserosal invasion (p<0.01). Carcinoma associated with dysplasia showed a better outcome (p<0.01). Also, better outcome was assumed in cases of papillary adenocarcinoma (pap) and negative lymph node invasion. Regarding INF, results were ranked with α, β, and γ in this order, and for the depth of subserosal invasion, ss1, ss2, and ss3. No significant relation was found in factors such as macroscopic form, tumor site, desmoplasia, venous invasion, perineural invasion and hepatic infiltration. The fact that gallbladder carcinoma associated with dysplasia showed a good outcome suggests that whether dysplasia is found or not can be a new prognosis regulating factor.