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Subscribe | register | login username: password: forgotten username or password? Remember me on this computer until i logout search for in all fields article title, abstract, keywords authors article title abstract advanced search home | journals the lancet the lancet infectious diseases the lancet neurology the lancet oncology the lancet respiratory medicine | specialties | clinical | global health | audio | conferences the lancet conferences conference collaborations meet the editors at conferences | information for readers authors advertisers press | healthcare jobs the lancet ipad app: articles in a new light the lancet ipad application (app) spans across all lancet titles including the lancet, the lancet oncology, the lancet neurology and the lancet infectious diseases. Functionality includes: article-based navigation to find articles quickly download articles for immediate or future use, either on or offline share articles with colleagues annotate articles create alerts bookmark favourites no, thanks outline goes here the lancet oncology, volume 4, issue 3, pages 167 - 176, march 2003 doi:10. 1016/s1470-2045(03)01021-0 cite or link using doi carcinoma of the gallbladder original text dr sanjeev misra a , arun chaturvedi b , naresh c misra c , indra d sharma b summary carcinoma of the gallbladder is the most common malignant tumour of the biliary tract and a particularly high incidence is observed in chile, japan, and northern india. The aetiology of this tumour is complex, but there is a strong association with gallstones. Owing to its nonspecific symptoms, gallbladder carcinoma is generally diagnosed late in the disease course, but if a patient with gallstones experiences a sudden change of symptoms, then a cancer diagnosis should be considered. Treatment with radical or extended cholecystectomy is potentially curative, although these procedures are only possible in 10—30% of patients. There is no role for cytoreductive surgery in this disease. If a gallbladder carcinoma is discovered via pathological examination of tissue samples, then the patient should be examined further and should have radical surgery if the tumour is found to be t1b or beyond. Additional port-site excision is necessary if the patient has already had their gallbladder removed during laparoscopy; however, patients with an intact gallbladder who are suspected to have gallbladder carcinoma should not undergo laparoscopic cholecystectomy. Patients with advanced i. buy cheap viagra cheap viagra generic viagra buy cheap viagra buy viagra online viagra for sale buy viagra cheap viagra viagra without a doctor prescription howtosmudge.com/pjn-cheap-generic-viagra-online-bn/ Frontrunner Insurance offers professional, uncomplicated insurance cover for all types of residential and commercial property. Try us for a quote, you won’t be disappointed!


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