Question:
I have
been diagnosed with adenosquamous carcinoma of the gallbladder.
I would
like to know what type of surgery is better, a laparoscopic cholecystectomy
or an open cholecystectomy.
Dan
Answer:
Dear
Dan,
An adenosquamous
carcinoma is a malignant cancer that contains two types of cells:
squamous cells (thin, flat cells that line certain organs) and gland-like
cells.
Adenosquamous
carcinoma of the gallbladder is relatively rare.
Its biological
behavior and optimal surgical procedure are still controversial
Adenosquamous/squamous
cell carcinoma of the gallbladder generally has been considered a
lethal disease.
Tumor
recurrence along port tracks is a potential complication of
laparoscopic cholecystectomy when gallbladder carcinoma is present,
even after subsequent hepatic resection is performed for attempted
cure.
Adenosquamous/squamous
cell carcinoma of the gallbladder warrants resection only if potentially
curative resection is feasible.
