Background: A gallbladder removed for benign disease has been sent for
histopathological examination, but this practice has been the subject of
controversy. This study was conducted to assess the feasibility or otherwise of
performing histopathological examination in every specimen of gallbladder.
Methods: We analysed, retrospectively histopathological reports of all
gallbladder specimens after cholecystectomy in last two years. Results: A total
of 1900 gallbladder specimens were sent for HPE out of which 1747 (91.9%)
showed evidence of chronic cholecystitis and 66 (3.47%) showed chronic
cholecystitis with cholesterolosis, 50 (2.63%) showed evidence of xanthomatous
cholecystitis, 6 (0.03%) with polyp, 14 (0.73%) with follicular cholecystitis,
14 (0.73%) gallbladders were reported as malignant (adenocarcinoma) out of
which 7 were in stage IA, 3 in stage IIA, and 4 in stage III. Conclusion:
Incidental diagnosis of carcinoma gallbladder is not rare, if the protocol of
routine histopathology of gallbladder specimen is not followed, subclinical malignancies
would fail to be identified with disastrous results. We strongly recommend
routine histopathology of all cholecystectomy specimens. - See more at
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