In a patient of symptomatic gallstone disease, laparoscopic cholecystectomy was done. On histopathology, adenocarcinoma of gall bladder was diagnosed with stage T2. Next line of treatment:

Name: In a patient of symptomatic gallstone disease, laparoscopic cholecystectomy was done. On histopathology, adenocarcinoma of gall bladder was diagnosed with stage T2. Next line of treatment:
Creator: Medical MCQ
Published: 2024-04-14T19:25:13+05:30
Keywords: Surgery

💡 Explanation

**Core Concept**
Adenocarcinoma of the gallbladder is a malignant neoplasm of the gallbladder, often associated with chronic inflammation and gallstones. The treatment of gallbladder cancer depends on the stage and extent of the disease.

**Why the Correct Answer is Right**
For a patient with stage T2 adenocarcinoma of the gallbladder, which is a localized cancer that has invaded the muscular layer of the gallbladder wall but has not spread to the lymph nodes or distant sites, the next line of treatment is surgical resection. This may involve a radical cholecystectomy, which includes the removal of the gallbladder, a portion of the liver, and the cystic duct, as well as a lymph node dissection. This approach aims to achieve a cure by removing the primary tumor and potentially affected lymph nodes.

**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because for stage T2 gallbladder cancer, surgical resection is the preferred treatment, not chemotherapy or radiation therapy alone.
**Option B:** This option is incorrect because while chemotherapy may be used as an adjunct to surgery or in more advanced stages of the disease, it is not the primary treatment for stage T2 adenocarcinoma of the gallbladder.
**Option C:** This option is incorrect because for stage T2 gallbladder cancer, surgical resection is the preferred treatment, not palliative care alone.

**Clinical Pearl / High-Yield Fact**
For patients with gallbladder cancer, it is essential to perform a thorough histopathological examination of the resected specimen to determine the stage and extent of the disease, which guides further treatment decisions.

**Correct Answer: C. Palliative care is not the preferred treatment for stage T2 adenocarcinoma of the gallbladder, and a more appropriate answer is not provided in this case. However, the most likely correct answer is not listed.**

✓ Correct Answer: C. Resection of segment IVb & V of liver with nodal clearance with po site excision

In a patient of symptomatic gallstone disease, laparoscopic cholecystectomy was done. On histopathology, adenocarcinoma of gall bladder was diagnosed with stage T2. Next line of treatment:

In a patient of symptomatic gallstone disease, laparoscopic cholecystectomy was done. On histopathology, adenocarcinoma of gall bladder was diagnosed with stage T2. Next line of treatment:

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