Indian Council of Medical Research consensus document for the management of gall bladder cancer
The document is based on consensus among the experts and best available evidence pertaining to Indian population and is meant for practice in India. All postcholecystectomy gallbladder specimens should be opened and examined carefully by the operating surgeon and be sent for histopathological examin...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2015-01-01
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| Series: | Indian Journal of Medical and Paediatric Oncology |
| Subjects: | |
| Online Access: | http://www.ijmpo.org/article.asp?issn=0971-5851;year=2015;volume=36;issue=2;spage=79;epage=84;aulast=Shukla |
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| author | Hari Shankar Shukla Bhawna Sirohi Anu Behari Atul Sharma Jahar Majumdar Manomoy Ganguly Mallika Tewari Sandeep Kumar Sunil Saini Peush Sahni Tomcha Singh Vinay Kumar Kapoor V Sucharita Tanvir Kaur Deepak Kumar Shukla Goura Kishor Rath |
| author_facet | Hari Shankar Shukla Bhawna Sirohi Anu Behari Atul Sharma Jahar Majumdar Manomoy Ganguly Mallika Tewari Sandeep Kumar Sunil Saini Peush Sahni Tomcha Singh Vinay Kumar Kapoor V Sucharita Tanvir Kaur Deepak Kumar Shukla Goura Kishor Rath |
| author_sort | Hari Shankar Shukla |
| collection | DOAJ |
| description | The document is based on consensus among the experts and best available evidence pertaining to Indian population and is meant for practice in India. All postcholecystectomy gallbladder specimens should be opened and examined carefully by the operating surgeon and be sent for histopathological examination. All "incidental" gall bladder cancers (GBCs) picked up on histopathological examination should have an expert opinion. Evaluation of a patient with early GBC should include essential tests: A computed tomography (CT) scan (multi-detector or helical) of the abdomen and pelvis for staging with a CT chest or chest X-ray, and complete blood counts, renal and liver function tests. magnetic resonance imaging/positron emission tomography (PET)-CT are not recommended for all patients. For early stage disease (up to Stage IVA), surgery is recommended. The need for adjuvant treatment would be guided by the histopathological analysis of the resected specimen. Patients with Stage IVB/metastatic disease must be assessed for palliative e.g. endoscopic or radiological intervention, chemotherapy versus best supportive care on an individual basis. These patients do not require extensive workup outside of a clinical trial setting. There is an urgent need for multicenter trials from India covering various aspects of epidemiology (viz., identification of population at high-risk, organized follow-up), clinical management (viz., bile spill during surgery, excision of all port sites, adjuvant/neoadjuvant therapy) and basic research (viz., what causes GBC). |
| format | Article |
| id | doaj-art-e6bf8500eceb43cda46a68e865f1986e |
| institution | OA Journals |
| issn | 0971-5851 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Medical and Paediatric Oncology |
| spelling | doaj-art-e6bf8500eceb43cda46a68e865f1986e2025-08-20T02:21:04ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Medical and Paediatric Oncology0971-58512015-01-01362798410.4103/0971-5851.158829Indian Council of Medical Research consensus document for the management of gall bladder cancerHari Shankar ShuklaBhawna SirohiAnu BehariAtul SharmaJahar MajumdarManomoy GangulyMallika TewariSandeep KumarSunil SainiPeush SahniTomcha SinghVinay Kumar KapoorV SucharitaTanvir KaurDeepak Kumar ShuklaGoura Kishor RathThe document is based on consensus among the experts and best available evidence pertaining to Indian population and is meant for practice in India. All postcholecystectomy gallbladder specimens should be opened and examined carefully by the operating surgeon and be sent for histopathological examination. All "incidental" gall bladder cancers (GBCs) picked up on histopathological examination should have an expert opinion. Evaluation of a patient with early GBC should include essential tests: A computed tomography (CT) scan (multi-detector or helical) of the abdomen and pelvis for staging with a CT chest or chest X-ray, and complete blood counts, renal and liver function tests. magnetic resonance imaging/positron emission tomography (PET)-CT are not recommended for all patients. For early stage disease (up to Stage IVA), surgery is recommended. The need for adjuvant treatment would be guided by the histopathological analysis of the resected specimen. Patients with Stage IVB/metastatic disease must be assessed for palliative e.g. endoscopic or radiological intervention, chemotherapy versus best supportive care on an individual basis. These patients do not require extensive workup outside of a clinical trial setting. There is an urgent need for multicenter trials from India covering various aspects of epidemiology (viz., identification of population at high-risk, organized follow-up), clinical management (viz., bile spill during surgery, excision of all port sites, adjuvant/neoadjuvant therapy) and basic research (viz., what causes GBC).http://www.ijmpo.org/article.asp?issn=0971-5851;year=2015;volume=36;issue=2;spage=79;epage=84;aulast=ShuklaGall bladder cancerICMRguidelinestreatmemt |
| spellingShingle | Hari Shankar Shukla Bhawna Sirohi Anu Behari Atul Sharma Jahar Majumdar Manomoy Ganguly Mallika Tewari Sandeep Kumar Sunil Saini Peush Sahni Tomcha Singh Vinay Kumar Kapoor V Sucharita Tanvir Kaur Deepak Kumar Shukla Goura Kishor Rath Indian Council of Medical Research consensus document for the management of gall bladder cancer Indian Journal of Medical and Paediatric Oncology Gall bladder cancer ICMR guidelines treatmemt |
| title | Indian Council of Medical Research consensus document for the management of gall bladder cancer |
| title_full | Indian Council of Medical Research consensus document for the management of gall bladder cancer |
| title_fullStr | Indian Council of Medical Research consensus document for the management of gall bladder cancer |
| title_full_unstemmed | Indian Council of Medical Research consensus document for the management of gall bladder cancer |
| title_short | Indian Council of Medical Research consensus document for the management of gall bladder cancer |
| title_sort | indian council of medical research consensus document for the management of gall bladder cancer |
| topic | Gall bladder cancer ICMR guidelines treatmemt |
| url | http://www.ijmpo.org/article.asp?issn=0971-5851;year=2015;volume=36;issue=2;spage=79;epage=84;aulast=Shukla |
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