Colesterolosis y cáncer de la vesícula biliar

Background: Cholesterolosis is frequently observed in cholecystectomies performed for lithiasis or chronic cholecystitis. Aim: To determine the degree of association between cholesterolosis and gallbladder cancer. Material and Methods: In a prospective study of gallbladder cancer, all gallbladders o...

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Autores principales: ROA E,IVÁN, DE ARETXABALA U,XABIER, IBACACHE S,GILDA, MUÑOZ N,SERGIO
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2010
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000700002
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spelling oai:scielo:S0034-988720100007000022010-11-26Colesterolosis y cáncer de la vesícula biliarROA E,IVÁNDE ARETXABALA U,XABIERIBACACHE S,GILDAMUÑOZ N,SERGIO Cholelithiasis Cholecystectomy Gallbladder neoplasms Background: Cholesterolosis is frequently observed in cholecystectomies performed for lithiasis or chronic cholecystitis. Aim: To determine the degree of association between cholesterolosis and gallbladder cancer. Material and Methods: In a prospective study of gallbladder cancer, all gallbladders obtained during cholecystectomies were processed for pathological study, following a special protocol. As part of this study, 23304 surgical samples obtained between 1993 and 2002 were studied, looking for a relationship between cholesterolosis and chronic cholecystitis, adenomas, dysplasia and gallbladder cancer. Results: Seventy nine percent of patients were women. Cholesterolosis was observed in 3,123 cases (13.4%). Cholesterolosis was more common in women (14.2%) than in men (10.2%) (p < 0.001). In the same period, 29 patients were diagnosed with adenomas (0.12%), 179 cases with dysplasia not associated with gallbladder cancer (0.8%) and 739 gallbladder cancer (3.2%). The frequency of cholesterolosis was 13.8% in chronic cholecystitis, 13.7% in adenomas, 12.1% in dysplasias and 1.35% in patients with gallbladder cancer (p < 0.01). Of the thirteen cases with gallbladder cancer and cholesterolosis, 10 were early gallbladder carcinomas. Patients with cholesterolosis were 9.2 times less likely to have cancer than those who did not have cholesterolosis. Conclusions: Cholesterolosis has a strong negative association with gallbladder cancer.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.138 n.7 20102010-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000700002es10.4067/S0034-98872010000700002
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Cholelithiasis
Cholecystectomy
Gallbladder neoplasms
spellingShingle Cholelithiasis
Cholecystectomy
Gallbladder neoplasms
ROA E,IVÁN
DE ARETXABALA U,XABIER
IBACACHE S,GILDA
MUÑOZ N,SERGIO
Colesterolosis y cáncer de la vesícula biliar
description Background: Cholesterolosis is frequently observed in cholecystectomies performed for lithiasis or chronic cholecystitis. Aim: To determine the degree of association between cholesterolosis and gallbladder cancer. Material and Methods: In a prospective study of gallbladder cancer, all gallbladders obtained during cholecystectomies were processed for pathological study, following a special protocol. As part of this study, 23304 surgical samples obtained between 1993 and 2002 were studied, looking for a relationship between cholesterolosis and chronic cholecystitis, adenomas, dysplasia and gallbladder cancer. Results: Seventy nine percent of patients were women. Cholesterolosis was observed in 3,123 cases (13.4%). Cholesterolosis was more common in women (14.2%) than in men (10.2%) (p < 0.001). In the same period, 29 patients were diagnosed with adenomas (0.12%), 179 cases with dysplasia not associated with gallbladder cancer (0.8%) and 739 gallbladder cancer (3.2%). The frequency of cholesterolosis was 13.8% in chronic cholecystitis, 13.7% in adenomas, 12.1% in dysplasias and 1.35% in patients with gallbladder cancer (p < 0.01). Of the thirteen cases with gallbladder cancer and cholesterolosis, 10 were early gallbladder carcinomas. Patients with cholesterolosis were 9.2 times less likely to have cancer than those who did not have cholesterolosis. Conclusions: Cholesterolosis has a strong negative association with gallbladder cancer.
author ROA E,IVÁN
DE ARETXABALA U,XABIER
IBACACHE S,GILDA
MUÑOZ N,SERGIO
author_facet ROA E,IVÁN
DE ARETXABALA U,XABIER
IBACACHE S,GILDA
MUÑOZ N,SERGIO
author_sort ROA E,IVÁN
title Colesterolosis y cáncer de la vesícula biliar
title_short Colesterolosis y cáncer de la vesícula biliar
title_full Colesterolosis y cáncer de la vesícula biliar
title_fullStr Colesterolosis y cáncer de la vesícula biliar
title_full_unstemmed Colesterolosis y cáncer de la vesícula biliar
title_sort colesterolosis y cáncer de la vesícula biliar
publisher Sociedad Médica de Santiago
publishDate 2010
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000700002
work_keys_str_mv AT roaeivan colesterolosisycancerdelavesiculabiliar
AT dearetxabalauxabier colesterolosisycancerdelavesiculabiliar
AT ibacachesgilda colesterolosisycancerdelavesiculabiliar
AT munoznsergio colesterolosisycancerdelavesiculabiliar
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