Læknablaðið - 01.04.2017, Síða 23

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ENGLISH SUMMARY
Introduction: Gallbladder carcinoma is about 0.5% of all cancer. The
outcome of patients with gallbladder carcinoma is overall bad and the
only potentially curative treatment is surgery. The aim of this study was
to determine the disease’s prevalence in Iceland and outcome of the
patients diagnosed in the study period.
Patients and methods: This was a retrospective study of all diagnosed
patients with gallbladder carcinoma during the years 2004-2013. A list of
patients was obtained from the Icelandic Cancer Registry. Information
was gathered from the patient’s charts in Landspitali University Hospital
and the Hospital in Akureyri. Descriptive statistics was used to analyze
the results. Median follow-up time was 6 years.
Results: Twenty-four patients were diagnosed with gallbladder carci-
noma in Iceland during the study period, 16 women and 8 men. Eighteen
patients were diagnosed in Landspitali and six in the Hospital in Akur-
eyri. The average age at diagnosis was 73 years. Eighteen patients have
died, on average 5 months after the time of diagnosis. Adenocarcinoma
was the most common cancer type (n=19). Three patients (3/24, 12.5%)
underwent extended operation following the diagnosis of the gallbladder
carcinoma. Nine patients (9/24, 37.5%) had advanced disease at the time
of diagnosis and died within two months after being diagnosed with gall-
bladder carcinoma.
Conclusion: Gallbladder carcinoma is a rare cancer type in Iceland and
has a bad prognosis. One third of the patients had no connection with
Landspitali University Hospital following the diagnosis. Extended sur-
gery following the diagnosis was seldom performed.
Gallbladder carcinoma in Iceland 2004-2013
Bryndís Baldvinsdóttir1, Haraldur Hauksson2, Kristín Huld Haraldsdóttir1
1Department of Surgery, Landspitali University Hospital, 2Department of Surgery, Akureyri Hospital.
Key words: gallbladder carcinoma, gastrointestinal cancer, adenocarcinoma, extended cholecystectomy.
Correspondence: Kristín Huld Haraldsdóttir, kristinh@landspitali.is
að meðferð sjúklinga sé á fárra höndum og að þeir séu ræddir á
samráðsfundum sem eru mikilvægur vettvangur þar sem margar
sérgreinar koma að og geta gefið ráðleggingar varðandi meðferð.
Einnig er mikilvægt að hefja framskyggna skráningu í gagna-
grunn yfir alla einstaklinga sem greinast með gallblöðrukrabba-
mein á Íslandi, þar sem skráðar yrðu upplýsingar um greiningu og
meðferð. Með þeim hætti fáum við mælikvarða sem hjálpar okkur
að meta hvernig meðferð hérlendis er háttað miðað við þau lönd
sem við berum okkur saman við.