Leading gastrointestinal cancer surgeon discusses gallbladder cancer treatment options. Incidental discovery of gallbladder cancer during cholecystectomy. It requires radical surgical operation to resect part of liver and colon. We have to make sure gallbladder cancer does not recur locally. When gallbladder cancer presents with symptoms, radical treatment is not always possible. Late stage of gallbladder carcinoma.
Gallbladder cancer treatment options. Dr. Martin Schilling, MD. Symptomatic gallbladder cancer usually presents at very late stage. Dr. Anton Titov, MD. Incidental finding of gallbladder cancer after cholecystectomy confers better prognosis. However, even Stage 1 or Stage 2 gallbladder cancer should be resected radically with liver resection. 10% of early gallbladder cancers recur locally and in the same anatomical region. Local recurrence of gallbladder cancer is a risk if surgery is not radical enough. Medical second opinion clarifies gallbladder cancer diagnosis. Medical second opinion helps to decide if liver metastases surgery is possible in gallbladder cancer. Best treatment for advanced stage 4 gallbladder cancer with liver metastatic lesions. Dr. Martin Schilling, MD. Medical second opinion from leading expert helps to find the best treatment for gallbladder cancer with liver metastases. Dr. Anton Titov, MD. Get medical second opinion on advanced gallbladder cancer and be confident that your treatment is the best. Best gallbladder cancer treatment center for liver metastases. Video interview with leading surgeon in gastrointestinal cancer treatment surgery. Gallbladder cancer treatment options. Dr. Anton Titov, MD. Gallbladder cancer is also very aggressive cancer. Gallbladder cancer is perhaps similar to pancreatic cancer in its aggressive course. Sometimes gallbladder cancer is diagnosed early in its course. Then good treatment results are possible. It is difficult to diagnose gallbladder cancer early though. What kind of techniques do you use for gallbladder cancer treatment? Dr. Anton Titov, MD. How can gallbladder cancer patients benefit from your treatment? Dr. Martin Schilling, MD. Esophageal cancer, Gastric cancer, Pancreatic cancer, Liver cancer and Colon cancer surgeon, Switzerland. You are correct that gallbladder cancer is diagnosed at very advanced stage. Or gallbladder cancer is diagnosed by accident. For example, during histologic examinations after routine cholecystectomy. Gallbladder cancer treatment for those two groups of patients differs. But mostly gallbladder cancer patients come to us at very different stages. Patients present with newly diagnosed gallbladder actions without prior cholecystectomy. Dr. Martin Schilling, MD. They usually have a very advanced gallbladder cancer stage. In advanced gallbladder cancer there is usually not much room for surgical resection. We can do very extensive resections in gallbladder cancer. We can resect cancer mostly extending to the correct side of liver. We can do large bowel, colon resection. Dr. Martin Schilling, MD. Esophageal cancer, Gastric cancer, Pancreatic cancer, Liver cancer and Colon cancer surgeon, Switzerland. We usually reserve the surgical operations for young patients with gallbladder cancer. We operate surgically on very fit gallbladder cancer patients. Dr. Anton Titov, MD. But despite treatment the outcome for those gallbladder cancer patients is not very good in the long term. The situation is very different for incidentally diagnosed gallbladder cancer patients. Incidentally discovered gallbladder cancers are usually at T1 or T2 tumor stage. Usually only cystic lymph node involvement is seen in gallbladder cancer. Those patients certainly benefit from surgical operation to resect gallbladder cancer. I personally believe that even T1 gallbladder cancer tumors without lymph node involvement should be treated radically. Dr. Martin Schilling, MD. Esophageal cancer, Gastric cancer, Pancreatic cancer, Liver cancer and Colon cancer surgeon, Switzerland. The reason for radical surgery in T1 gallbladder cancer treatment is this. Even in T1 tumor stage we still lose 10% of T1 gallbladder patients in 5 years. They die due to tumor local recurrence. It means that these gallbladder cancer patients have not been treated radically enough. That is why I would advocate for liver resections in those T1 gallbladder cancer patients. Especially in younger patients with T1 or T2 gallbladder cancer. Dr. Anton Titov, MD. Professor Schilling, thank you very much for this very important conversation. It will be very informative for all patients who will see these videos. Dr. Martin Schilling, MD. Gallbladder cancer treatment options depend on diagnosis after symptoms appear or incidental discovery. Dr. Anton Titov, MD. More radical gallbladder carcinoma surgery is best.