Abstract
Poor prognosis after treatment in advanced gallbladder carcinomas remains, despite the development of the modern diagnostic modalities. Early detection of the carcinoma and subsequent cure seem to be essential for resolution of such problems. When gallbladder cancer is suspected based on clinical symptoms and risk factors, ultrasonography should be performed through not only the skin but also the duodenum (EUS) and enhanced CT should be carried out. If the carcinoma is limited around the gallbladder without distant metastasis, standard radical surgery might be a curative procedure. The favorable procedure can be, however, selected and confirmed after the correct pathological examination of the specimen is removed. It is recommended to do the strategies of second radical surgery, because unfavorable and over surgery would be especially refused.
