Is a Histopathological Examination Justified in All Cholecystectomy Specimens? – A 5 Year Experience in a Tertiary Care Hospital of Kumaon Region in Uttarakhand

Oncology, Gastroenterology and Hepatology Reports,2013,2,2,27-32.
Published:July 2013
Type:Original Article
Authors:
Author(s) affiliations:

Ghazala Rizvi, Harishankar Pandey, Rajeev Kumar Singh,1 Hema Pant,2 Sanjay Singh Chufal, Prabhat Pant

Department of Pathology, 1Surgery, Government Medical College, Haldwani,

2SRMS Medical College, Bareilly, India

Abstract:

Background: Gall bladder specimens are among one of the most common organs received for histopathology in any hospital. Gall bladder carcinoma is a malignancy known for being asymptomatic. Our country has experienced a steady increase in the incidence of this malignancy in the recent years. Coexistence of gall stones has lead to the belief that they have a major role to play in the pathogenesis of carcinoma of the gall bladder. Aim: To justify that a histopathological examination should routinely be done for all cholecystectomy specimens. Material and Method: A retroprospective study was done on 1057 gall bladder specimens received over a period of 5 years. Data of the age, sex, clinical findings, provisional diagnosis, and histopathological findings were tabulated into the various histopathological identities. Result: Majority of the histopathological alterations observed in the gall bladder specimens studied including malignancy were not accompanied by gall stones. Conclusion: All cholecystectomy specimens should routinely be sent for histopathological examination irrespective of the presence or the absence of cholelithiasis.