Araştırma Makalesi

Assessment of Gallbladder Epithelial Lesions and Clinicopathological High-Risk Patient

Cilt: 32 Sayı: 2 19 Haziran 2025
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Assessment of Gallbladder Epithelial Lesions and Clinicopathological High-Risk Patient

Öz

Objective: Recognizing epithelial pathologies in the gallbladder and understanding the accompanying clinicopathological features may be useful in determining the decision for cholecystectomy. However, this distinctive selection in gallbladder patients has not been fully elucidated yet. In our series, we aimed to investigate the relationship between epithelial pathologies of the mucosa and clinicopathological findings in cholecystectomy materials and evaluate them in the light of the literature. Materials and Methods: We designed a retrospective cross-sectional study in which we re-evaluated Hematoxylin & Eosin-stained slides of 852 cholecystectomy materials operated in our hospital for two years. Mucosal pathologies were grouped as papillary hyperplasia (PH), pyloric metaplasia (PM), intestinal metaplasia (IM), epithelial dysplasia (ED), and cancer. We obtained the demographic data from the electronic archive system of our hospital. The chi-square test and Fisher’s exact test were used, and p <0.05 was considered significant. Results: The mean age of the patient was 53.17 ± 13.48. PH, PM, IM, PM+IM, ED, and invasive cancer were detected in 11.38%, 8.92%, 11.15%, 07.04%, 3.16%, and 0.47% of all cases, respectively. The mucosal pathologies were mostly observed over 50 years (p <0,05). The mass-forming lesion could not be detected among dysplasia cases (p <0.0001). Conclusions: Age was found to be an essential factor for gallbladder epithelial changes in our study. We argue that taking additional macroscopic samples would be more effective in the definitive diagnosis of gallbladder epithelial pathologies in this age group, and being more careful when deciding on the indication for cholecystectomy in the over-50 age group.

Anahtar Kelimeler

Etik Beyan

The Ethics Committee of the University of Izmir Democracy, Buca Seyfi Demirsoy Education and Research Hospital approved using primary tissue samples in this study (Reference Number: 2024/348, Date: December 30, 2024). This study adhered to the principles of the Helsinki Declaration and its subsequent amendments.

Kaynakça

  1. 1. Wang J, Shen S, Wang B, Ni X, Liu H, Ni X, et al. Serum lipid levels are the risk factors of gallbladder stones: A population-based study in China. Lipids Health Dis 2020;19:1–6. https://doi.org/10.1186/s12944-019-1184-3.
  2. 2. Song ST, Shi J, Wang XH, Guo Y Bin, Hu PF, Zhu F, et al. Prevalence and risk factors for gallstone disease: A population-based cross-sectional study. J Dig Dis 2020:1–29. https://doi.org/10.1111/1751-2980.12857.
  3. 3. Bangash M, Alvi AR, Shahzad N, Shariff AH, Gill RC. Factors associated with premalignant epithelial changes in chronic calculous cholecystitis: A case–control study. World J Surg 2018;42:1701–5. https://doi.org/10.1007/s00268-017-4371-2.
  4. 4. Miyazaki M, Takada T, Miyakawa S, Tsukada K, Nagino M, Kondo S, et al. Risk factors for biliary tract and ampullary carcinomas and prophylactic surgery for these factors. J Hepatobiliary Pancreat Surg 2008;15:15–24. https://doi.org/10.1007/s00534-007-1276-8.
  5. 5. Adsay V, Saka B, Basturk O, Roa JC. Criteria for pathologic sampling of gallbladder specimens, Am. J. Clin. Pathol 2013;140(2):280, doi: 10.1309/AJCPUJPGQIZ6DC6A.
  6. 6. Roa JC, Basturk O, Adsay V. Dysplasia and carcinoma of the gallbladder: Pathological evaluation, sampling, differential diagnosis and clinical implications. Histopathology 2021;79:2–19. https://doi.org/10.1111/his.14360.
  7. 7. Nakeeb A, Comuzzie AG, Martin L, Sonnenberg GE, Swartz-Basile D, Kissebah AH, et al. Gallstones: Genetics versus environment. Ann Surg 2002;235:842–9. https://doi.org/10.1097/00000658-200206000-00012.
  8. 8. Bastiaenen VP, Corten BJGA, De Savornin Lohman EAJ, De Jonge J, Kraima AC, Swank HA, et al. Safety and cost analysis of selective histopathological examination following appendicectomy and cholecystectomy (FANCY study): Protocol and statistical analysis plan of a prospective observational multicentre study. BMJ Open 2019;9. https://doi.org/10.1136/bmjopen-2019-035912.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Patoloji

Bölüm

Araştırma Makalesi

Yayımlanma Tarihi

19 Haziran 2025

Gönderilme Tarihi

10 Ocak 2025

Kabul Tarihi

1 Haziran 2025

Yayımlandığı Sayı

Yıl 2025 Cilt: 32 Sayı: 2

Kaynak Göster

APA
Öz, Ö., & İnal, A. (2025). Assessment of Gallbladder Epithelial Lesions and Clinicopathological High-Risk Patient. Medical Journal of Süleyman Demirel University, 32(2), 177-183. https://doi.org/10.17343/sdutfd.1615328
AMA
1.Öz Ö, İnal A. Assessment of Gallbladder Epithelial Lesions and Clinicopathological High-Risk Patient. SDÜ Tıp Fak Derg. 2025;32(2):177-183. doi:10.17343/sdutfd.1615328
Chicago
Öz, Özden, ve Abdullah İnal. 2025. “Assessment of Gallbladder Epithelial Lesions and Clinicopathological High-Risk Patient”. Medical Journal of Süleyman Demirel University 32 (2): 177-83. https://doi.org/10.17343/sdutfd.1615328.
EndNote
Öz Ö, İnal A (01 Haziran 2025) Assessment of Gallbladder Epithelial Lesions and Clinicopathological High-Risk Patient. Medical Journal of Süleyman Demirel University 32 2 177–183.
IEEE
[1]Ö. Öz ve A. İnal, “Assessment of Gallbladder Epithelial Lesions and Clinicopathological High-Risk Patient”, SDÜ Tıp Fak Derg, c. 32, sy 2, ss. 177–183, Haz. 2025, doi: 10.17343/sdutfd.1615328.
ISNAD
Öz, Özden - İnal, Abdullah. “Assessment of Gallbladder Epithelial Lesions and Clinicopathological High-Risk Patient”. Medical Journal of Süleyman Demirel University 32/2 (01 Haziran 2025): 177-183. https://doi.org/10.17343/sdutfd.1615328.
JAMA
1.Öz Ö, İnal A. Assessment of Gallbladder Epithelial Lesions and Clinicopathological High-Risk Patient. SDÜ Tıp Fak Derg. 2025;32:177–183.
MLA
Öz, Özden, ve Abdullah İnal. “Assessment of Gallbladder Epithelial Lesions and Clinicopathological High-Risk Patient”. Medical Journal of Süleyman Demirel University, c. 32, sy 2, Haziran 2025, ss. 177-83, doi:10.17343/sdutfd.1615328.
Vancouver
1.Özden Öz, Abdullah İnal. Assessment of Gallbladder Epithelial Lesions and Clinicopathological High-Risk Patient. SDÜ Tıp Fak Derg. 01 Haziran 2025;32(2):177-83. doi:10.17343/sdutfd.1615328

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