PATHOLOGY

PATHOLOGY MCQ

BILIARY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Following uneventful laparoscopic cholecystectomy, the final pathology shows a T1a adenocarcinoma in the wall of the gallbladder opposite to the gallbladder fossa wall. Definitive surgical treatment includes
A
resection of a 2 cm rim of liver around the gallbladder fossa and a portal lymphadenectomy
B
hepatectomy including segments 4b and 5 and portal lymphadenectomy
C
portal lymphadenectomy alone
D
no additional therapy
E
radiation therapy to the gallbladder fossa and portal triad
Explanation: 

Detailed explanation-1: -Based on these findings, simple cholecystectomy is being recommended as the appropriate surgical therapy for T1b GB cancer. Other guidelines also recommend simple cholecystectomy for the treatment of T1b GB cancer.

Detailed explanation-2: -Surgery to remove the gallbladder is called a cholecystectomy. In a simple cholecystectomy, only the gallbladder is removed. It is done for early stage gallbladder cancer when the tumour is only in the gallbladder. A simple cholecystectomy may be done using a laparoscopic method or an open method.

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