Can gallbladder cancer be detected by ultrasound?

Written by Shen Jiang Chao
Radiology
Updated on September 15, 2024
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Gallbladder cancer can also be detected by ultrasound, which is the preferred imaging method for diagnosing hepatobiliary diseases. Ultrasound can detect space-occupying lesions in hepatobiliary diseases early on. It is sensitive enough to detect lesions as small as one centimeter, or even a few millimeters. In the case of space-occupying lesions of the gallbladder, particularly gallbladder cancer, there are no particularly obvious signals on ultrasound. Ultrasound of the gallbladder is merely used as a screening tool, not as a definitive diagnostic method. If gallbladder cancer is suspected, further investigations such as MRI or enhanced CT are generally required, but the final diagnosis still relies on pathology.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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What's causing the vomiting in gallbladder cancer?

Gallbladder cancer patients, if they experience vomiting, the causes primarily include two aspects. On one hand, vomiting may occur due to obstructive jaundice caused by gallbladder cancer. At this time, the patient may experience abdominal distension and poor digestion, which could lead to nausea and vomiting. For treatment, it is advisable to perform surgery as soon as possible to achieve therapeutic effects and prevention. On the other hand, for gallbladder cancer patients, vomiting should be taken seriously as it could be a sign of metastasis to other parts of the body, such as the gastrointestinal tract or liver. Therefore, for gallbladder cancer patients, it is important to conduct comprehensive examinations to rule out metastasis to other locations. If metastasis occurs, systemic chemotherapy may be necessary to achieve better suppressive effects.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Can gallbladder cancer be detected through blood tests?

Blood tests generally cannot detect gallbladder cancer because there are no specific markers in the blood tests for gallbladder cancer. Although some tumor markers may be significantly elevated, they are not specific. Therefore, diagnosis of gallbladder cancer can be refined through abdominal CT, color ultrasound, and if necessary, puncture tissue for pathological examination to confirm the nature. Once diagnosed with gallbladder cancer, surgery should be performed as soon as possible because gallbladder cancer is a highly malignant, rapidly developing, and poor prognosis malignancy. It is important to pay attention to it and handle it promptly to improve the prognosis and potentially extend the patient’s life.

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Written by Shen Jiang Chao
Radiology
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Gallbladder cancer ultrasonographic appearance

The appearance of gallbladder cancer on color ultrasound depends on the morphology of the cancer, which is mainly divided into five types: small nodular, thick-wall, fragmented, calculous, and mixed type. The small nodular type mainly features a polypoid elevation with a wide base, about 1-1.2 cm in size, and has isoechoic characteristics. The fragmented type is characterized by a wider base and irregular borders, presenting as hypoechoic or isoechoic masses. The calculous type shows an enlarged gallbladder, possibly containing hypoechoic and uneven solid masses that may fill the entire gallbladder. The thick-wall type primarily involves localized or diffuse thickening of the wall. The mixed type is a combination of papillary fragmented type and thick-wall type presence.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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What foods to eat for late-stage gallbladder cancer?

Patients with advanced liver cancer will experience metastasis to other parts of the body, presenting corresponding clinical symptoms that affect the quality of life. Furthermore, patients with advanced liver cancer often exhibit significant weight loss and cachexia, commonly accompanied by hypoalbuminemia. Therefore, for patients with advanced gallbladder cancer, it is advisable to include a diet rich in high-protein foods, which can help replenish the proteins needed by the body, such as albumin, and improve the patient's immunity. It is beneficial to eat fresh vegetables, fruits, as well as lean meats, eggs, and fish, to address these symptoms appropriately. At the same time, for patients with advanced gallbladder cancer, it is important to avoid spicy and irritating foods, as well as foods that are difficult to digest, because these can increase the burden on the gallbladder, exacerbating the condition and impeding treatment. Hence, this should be given careful consideration.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Gallbladder cancer skin itching area

Patients with gallbladder cancer may develop obstructive jaundice as the tumor size increases, which can manifest as yellowing of the skin and mucous membranes, dark urine, and pale stools. Patients may also experience itching and discomfort. For these patients, the treatment effectiveness is generally poor, and gallbladder cancer is a type of malignancy that tends to metastasize and has a very poor prognosis. Once symptoms are prominent, treatment becomes relatively difficult and less effective. It is advisable for gallbladder cancer patients to undergo surgical resection as early as possible to improve their prognosis. However, the onset of gallbladder cancer is often insidious and frequently overlooked.