Editorial
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jul 27, 2015; 7(7): 107-109
Published online Jul 27, 2015. doi: 10.4240/wjgs.v7.i7.107
Is gall bladder cancer a bad cancer per se?
Vinay K Kapoor
Vinay K Kapoor, Surgical Gastroenterology, Sanjay Gandhi Post-graduate Institute of Medical Sciences, Lucknow 226014, Uttar Pradesh, India
Author contributions: Kapoor VK solely contributed to this paper.
Conflict-of-interest statement: No conflict of interests to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Vinay K Kapoor, Professor of Surgical Gastroenterology, Sanjay Gandhi Post-graduate Institute of Medical Sciences, Raibareli Road, Lucknow 226014, Uttar Pradesh, India. vkkapoor.india@gmail.com
Telephone: +91-522-2494401 Fax: +91-522-2668017
Received: February 6, 2015
Peer-review started: February 6, 2015
First decision: April 27, 2015
Revised: April 28, 2015
Accepted: May 16, 2015
Article in press: May 18, 2015
Published online: July 27, 2015
Processing time: 170 Days and 19.3 Hours
Core Tip

Core tip: Gall bladder (GB) wall is thin and important adjacent organs get easily infiltrated. Tumor in GB neck needs hepatectomy and infiltration of duodenum/pancreas necessitates pancreato-duodenectomy; mortality of these procedures is high. Survival in gall bladder cancer (GBC), even after R0 resection, is poor. There is no role of neo-adjuvant or adjuvant therapy. Early GBC, diagnosed incidentally after cholecystectomy for stones, requires reoperation but most surgeons are not aware of this. GBC, uncommon in the West, has not received much attention. Preventive cholecystectomy is not recommended and there is no marker for screening. GBC is a bad cancer per se!