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A 26-year-old female asked about a 58-year-old female:

My mom has stage 4 metastatic cancer of lungs, but primary is unknown. her gallbladder mass, ca is 19.9 which is high but her liver is alright. she got a ct scan done three months ago and her gallbladder seemed fine. could it be gallbladder cancer?

4 doctor answers17 doctors weighed in
Dr. Mark Kuhnke
General Surgery 40 years experience
Possibly: Sorry to hear of this.If 90 days ago there was a normal gb on ct it's unlikely that this is the source. Your oncologist will guide you in determining management.If the gb is the source there's no advantage at this point to remove it. Good luck.
Dr. Randy Stevens
General Surgery 24 years experience
Gb unlikely: Your mother has stage IV cancer with mets to lung. I am sorry. If a ct showed the gallbladder normal 3 months ago then it is unlikely. Knowing if it is adenocarcinoma or squamous may help. But focusing on the forward progress and implementing a plan she wants is the most important thing. A supportive family and a clear goal. Hope this helps.
Dr. Carl Decker
Radiology 24 years experience
Best to use ultrasound: In evaluation of a gallbladder ultrasound is more sensitive than ct. Would recommend reevaluation of the gallbladder with ultrasound.
Dr. Martin Raff
Infectious Disease 56 years experience
Question unclear: A ct scan is not always the best way in which to image the gall bladder, but this is not the most common source of this condition. Right now, rather than worrying about the primary site, your mother needs all the help and support and loving possible. Before making choices of therapy would always ask what to expect and how it will influence life style and what are side-effects. Look into hospice.

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Last updated Jun 10, 2014

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