Liver first. The most common sites are liver, lung, and brain. Other sites reported include the eye, heart, port sites, and bones.
Locally first. Into liver bed then if hematogenous- blood stream to anywhere.
GB cancer is. Uncommon, so few studies done prospectively. Looking at results in people treated empirically, perhaps one person in 10 will respond. That needs to be balanced against side effects that tend to occur in most. Frank discussion about symptom rrelief focus rather than "shrink tumor" at all cost.
It is worth a trial. Being a rare cancer, we have limited data about efficacy of chemotherapy. Yet many phase 2 studies have been done which predictably show that gemcitabine is an active drug and benefits about1/3 patients. More recently combination chemotherapy using Cisplatin with gemcitabine, for the first time, showed a superior efficacy with 2 drugs over one. You have nothing to lose yet may buy 6 to 12 months.
Depends on the stage. Of the cancer. Unfortunately, it is sometimes found in advanced stages, and it can invade the liver directly. If it is found incidentally on surgical specimen in a gallbladder removed for stones or infection, it will have a somewhat better prognosis. Get an opinion from an oncologist.
Depends on Stage. This depends on the stage of the cancer.
It likely is not. It is unrelated unless the gall bladder cancer has spread to bones in that area.
It is not. Unless the cancer has spread and is affecting the bone.
None. Unfortunately vitamins play no role in the treatment of biliary cancer. In fact, depending upon the type of treatment used, they may increase the side effects of certain chemotherapeutic agents. Consult your oncolgist before you take any over the counter or "natural" medications.
No specific vitamins. Unfortunately, vitamins are not known to have specific anti-cancer activity against gallbladder cancers. Vitamin d deficiency may lead to an increased risk of various cancers, and should be assessed. Learn more about vitamin d and cancer here: http://www. Mskcc. Org/cancer-care/herb/vitamin-d.
Does gallbladder cancer appear as acalculous gallbladder wall thickening? Or as a specific area with scar like appearance?
Gallbladder cancer. Is so rare that there is no typical presentation. It is usually found incidentally on a gallbladder specimen that was removed for stone or infection.
Porcelain. The finding of a "porcelain gallbladder" on x-ray raises the suspicion for cancer; however, not diagnostic for cancer. Gallbladder cancer can present with symptoms and findings similar to patients with routine gallstones: right upper quad. Pain after eating with an ultrasound showing a thickened wall and stones. Most patients with acalculous cholecystitis, do not have cancer but still need surgery.
Not necessarily. Gallbladder cancer can occur with or without stones. Risk factors include porcelain (calcificed wall) gallbladder, when stones > 3 cm in size are present, large polyps, certain infections, and congential anomalies of the bile duct.
Several ways. The majority of gallbladder cancers are diagnosed after the gallbladder is removed for a reason other than suspicion of gallbladder cancer. For those still in place, (endoscopic) ultrasound is the most common and useful diagnostic tool, but other imaging methods such as ct, mri, and endoscopic retrograde cholangiopancreatography (ERCP) are useful as well. Lab studies are not very useful.
It is not a very. Common cancer, and it is usually found by the pathologist after the gall bladder was removed for gall bladder disease. Symptoms are the same.
Biopsy. Symptoms of gallbladder cancer are solar to non cancerous problems with the gb and include nausea, pain, and taste disturbances. Suspicion for cancer increases when there is a mass in the gb or the wall of the gb has irregular borders. Gb cancer can be discovered incidentally when the gb is being removed for other reasons.
Gall stones. Gall bladder cancer is uncommon. People with gall stones are at greater risk of this cancer. It occurs more often women than in men and most patients are adults or older. Consult the following site for more information: http://www. Mayoclinic. Com/health/gallbladder-cancer/ds00425.
Risk factors. Patients with large gallbladder polyps. Most patients with gallbladder cancer are asymptomatic (found incidentally). The patients who are symptomatic usually have late stage cancer.
No. There are no known specific causes for biliary cancer.
No. Chronic inflamed gall bladder may be associated, but that is quite common, and gb cancer remains quite rare.