Epidemiology and Molecular Pathology of Gallbladder Cancer

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dc.catalogadorjlo
dc.contributor.authorLazcano-Ponce, Eduardo
dc.contributor.authorMiquel Poblete, Juan Francisco
dc.contributor.authorMuñoz, Nubia
dc.contributor.authorHerrero, Rolando
dc.contributor.authorFerrecio, Catterina
dc.contributor.authorWistuba Oyarzún, Ignacio
dc.contributor.authorAlonso de Ruiz, Patricia
dc.contributor.authorAristi Urista, Gerardo
dc.contributor.authorNervi Oddone, Flavio
dc.date.accessioned2024-08-06T20:40:22Z
dc.date.available2024-08-06T20:40:22Z
dc.date.issued2001
dc.description.abstractGallbladder cancer is usually associated with gallstone disease, late diagnosis, unsatisfactory treatment, and poor prognosis, We report here the worldwide geographical distribution of gallbladder cancer, review the main etiologic hypotheses, and provide some comments on perspectives for prevention. The highest incidence rate of gallbladder cancer is found among populations of the Andean area, North American Indians, and Mexican Americans. Gallbladder cancer is up to three times higher among women than men in all populations. The highest incidence rates in Europe are found in Poland, the Czech Republic, and Slovakia. Incidence rates in other regions of the world are relatively low. The highest mortality rates are also reported from South America, 3.5-15.5 per 100,000 among Chilean Mapuche Indians, Bolivians, and Chilean Hispanics. Intermediate rates, 3.7 to 9.1 per 100,000, are reported from Peru, Ecuador, Colombia, and Brazil. Mortality rates are low in North America, with the exception of high rates among American Indians in New Mexico (11.3 per 100,000) and among Mexican Americans.", "The main associated risk factors identified so far include cholelithiasis (especially untreated chronic symptomatic gallstones), obesity, reproductive factors, chronic infections of the gallbladder, and environmental exposure to specific chemicals. These suspected factors likely represent promoters of carcinogenesis. The main limitations of epidemiologic studies on gallbladder cancer are the small sample sizes and specific problems in quantifying exposure to putative risk factors. The natural history of gallbladder disease should be characterized to support the allocation of more resources for early treatment of symptomatic gallbladder disease in high-risk populations. Secondary prevention of, gallbladder cancer could be effective if supported by cost-effective studies of prophylactic cholecystectomy among asymptomatic gallstone patients in high-risk areas."]
dc.description.funderNo tiene
dc.fechaingreso.objetodigital2024-08-06
dc.format.extent16 páginas
dc.fuente.origenHistorial Académico
dc.identifier.doi10.3322/canjclin.51.6.349
dc.identifier.issn0007-9235
dc.identifier.urihttp://dx.doi.org/10.3322/canjclin.51.6.349
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/87301
dc.identifier.wosidWOS:000171967400004
dc.information.autorucEscuela de Medicina; Miquel Poblete, Juan Francisco; 0000-0002-0526-4377; 72216
dc.information.autorucEscuela de Medicina; Wistuba Oyarzún, Ignacio; S/I; 100278
dc.information.autorucEscuela de Medicina; Nervi Oddone, Flavio; 0000-0002-6642-7985; 99156
dc.issue.numero6
dc.language.isoen
dc.nota.accesocontenido completo
dc.pagina.final364
dc.pagina.inicio349
dc.revistaCa-A Cancer Journal for Clinicians
dc.rightsacceso abierto
dc.subjectAmerican Indian
dc.subjectBrazil
dc.subjectCancer epidemiology
dc.subjectCancer incidence
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleEpidemiology and Molecular Pathology of Gallbladder Cancer
dc.typeartículo
dc.volumen51
sipa.codpersvinculados72216
sipa.codpersvinculados100278
sipa.codpersvinculados99156
sipa.trazabilidadHistorial Académico;09-07-2021
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