Rothenberg R E, LaRaja R D, McCoy R E, Pryce E H
Department of Surgery, Cabrini Medical Center, New York, New York 10003.
Am Surg. 1991 May;57(5):306-8.
The incidence of carcinoma of the gallbladder has been reputed to be approximately 1.5 per cent among those who undergo surgery for chronic cholecystitis. The incidence at Cabrini Medical Center coincides rather well with that from other studies but has shown a marked decline, 21.5 per cent, within recent years. A report from the American Cancer Society projects an even greater decline to 0.65 per cent in the incidence of this almost incurable disease within the next 1-2 years. The decrease in the incidence of cancer of the gallbladder is attributed to the great increase in the performance of elective cholecystectomy for chronic cholecystitis among people 50 years of age or younger, before they have reached the age when carcinoma of the gallbladder is most prevalent. Early surgery is advocated not only as an effective and safe form of therapy but also as a valuable preventive measure.
在因慢性胆囊炎接受手术的患者中，胆囊癌的发病率据信约为1.5%。卡布里尼医疗中心的发病率与其他研究结果相当吻合，但近年来已显著下降，降至21.5%。美国癌症协会的一份报告预计，在未来1至2年内，这种几乎无法治愈的疾病的发病率将进一步大幅下降至0.65%。胆囊癌发病率的下降归因于50岁及以下人群在尚未达到胆囊癌最普遍发病年龄之前，因慢性胆囊炎而进行择期胆囊切除术的比例大幅增加。早期手术不仅被视为一种有效且安全的治疗方式，还被视为一项重要的预防措施。
