Will CA199 also be high with gallbladder cancer?

Written by Liu Wu Cai
Hepatobiliary Surgery
Updated on December 05, 2024
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Gallbladder cancer CA199 levels are likely to be elevated.

In the case of gallbladder cancer, it is a common malignant tumor of the digestive system. When tumor markers are evaluated, an increase in CA199 can be observed. For patients with gallbladder cancer, it is advisable to undergo surgical removal as early as possible to improve prognosis. Generally, early-stage gallbladder cancer patients do not show specific symptoms, and some may only experience upper abdominal bloating and discomfort, which is often overlooked. Therefore, once diagnosed with gallbladder cancer, it is usually at a mid-to-late stage. At this point, treatment can only be symptomatic and not curative, and the treatment outcome is relatively poor. However, active management is still necessary to prevent the worsening of the condition.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Do patients with gallbladder cancer need to have separate meals from their family members?

Patients with gallbladder cancer do not need to eat separately from their family. Although it is necessary for gallbladder cancer patients to avoid spicy and stimulating foods to reduce inflammatory irritation and better control the progression of the disease, this is especially true for symptomatic gallstone patients, who can control the disease progression through diet without special treatment, simply needing regular follow-up with ultrasonography to monitor changes in size. If significant symptoms occur, surgery is needed to achieve a cure, so treatment is relatively complex and focuses on usual dietary habits. Additionally, patients with gallbladder cancer should consume foods that are rich in protein to supplement the energy needed by the body.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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The difference between gallbladder polyps and gallbladder cancer in ultrasound examinations

For gallbladder polyps, they are a type of benign tumor, so under color ultrasound, benign protrusions can be observed, and there are no adhesions with surrounding tissues, nor is there obvious blood vessel supply. For gallbladder cancer, it is a type of malignant tumor, so at this time, adhesions with surrounding tissues can be observed under color ultrasound, and there is obvious blood vessel supply. Therefore, for patients with gallbladder polyps and gallbladder cancer, their treatment methods are completely different, and attention should be paid. If it is a gallbladder polyp, patients generally do not exhibit obvious symptoms and do not require special management. For gallbladder cancer patients, however, it severely affects their quality of life and lifespan, so attention must be paid, and early surgical removal and treatment must be undertaken to achieve a cure.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Can people with gallbladder cancer eat dragon fruit?

Patients with gallbladder cancer can eat dragon fruit. Dragon fruit is a type of fruit that is rich in vitamins and trace elements, which can be beneficial for recovery. It can help reduce inflammatory irritation and prevent the condition from worsening. Additionally, the diet for patients with gallbladder cancer should be light, primarily consisting of fresh vegetables and fruits. However, spicy and irritating foods should be avoided to reduce inflammation. It is also appropriate to supplement the diet with protein-rich foods, such as eggs, lean meats, and fish, to replenish the proteins needed by the body, enhance the patient's resistance, and facilitate recovery from the illness.

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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 Li Hu Chen
Imaging Center
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Can gallbladder cancer be detected by ultrasound?

If there is gallbladder cancer, we can detect it by conducting an ultrasound examination, checking the liver, gallbladder, pancreas, and spleen, or simply performing an upper abdominal ultrasound. This is because an ultrasound is typically the first choice for examining the hepato-biliary system. Why? Because it's the most convenient and quickest method. Other examinations such as CT scans or MRI often require a prior appointment, especially MRI, which may need booking days in advance. However, ultrasounds are usually done on the same day and the results are immediate, making it the preferred method for examining the liver and gallbladder. Moreover, ultrasound is quite sensitive for gallbladder cancer. It can reveal if the gallbladder wall is particularly thickened, either locally or extensively, which often suggests the presence of gallbladder cancer, or if there is a large mass of soft tissue in the area of the gallbladder fossa, which might also adhere to the surrounding liver, raising suspicions of gallbladder cancer. Additionally, if there are unusually large polyps, particularly those over 1cm or with a notably wide base, gallbladder cancer should also be considered.