Risk factors for gallbladder cancer: a reappraisal
作者:
M Pandey,
期刊:
European Journal of Cancer Prevention
(OVID Available online 2003)
卷期:
Volume 12,
issue 1
页码: 15-24
ISSN:0959-8278
年代: 2003
出版商: OVID
关键词: Carcinogenesis;carcinoma gallbladder;cholelithiasis;free radicals;heavy metals;lipid peroxidation;metallothioneins;secondary bile acids
数据来源: OVID
摘要:
Carcinoma of the gallbladder has a very unusual geographical distribution with pockets of high incidence seen in Chile, Poland, India, Japan and Israel; it occurs rarely in the rest of the world. It is a common malignancy in the Western Bihar and Eastern Uttar Pradesh regions of India. Patients present with extremes of clinical symptoms, indicating benign biliary diseases on the one hand and incurable malignant disease on the other. Laboratory and roentgenographic data tend to confirm the clinical diagnosis of the advanced incurable disease at presentation, in most cases. Various aetiopathological agents have been proposed but none has stood the test of time. In this article, we have reviewed the aetiopathological agents proposed from time to time over the past two centuries, with special emphasis on the developments made in the last 25 years.
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