Gall Bladder Carcinoma: Incorrect

Carcinoma of the Gall Bladder is an uncommon tumor that occurs in the elderly. There is an increased incidence in Pima Indians. There is a high correlation with gallstones and the risk increases with the length of time gallstones have been present. Dissemination of the tumor occurs early by direct invasion of the liver and hilar structures. Clinical symptoms are usually those of persistent RUQ pain or an initial attack of acute cholecystitis. By the time the patient becomes symptomatic, the tumor has already spread to adjacent structures. CT and ultrasound are helpful imaging modalities. Prognosis is poor.

Although one can not completely rule out a gall bladder carcinoma in Mrs. Jones, this is a highly unlikely diagnosis given her age and the rarity of gall bladder tumors. However, approximately 10% of gall bladder tumors are diagnosed following cholecystectomy during pathologic examination of the gall bladder.

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