Gallbladder and other pathologies: 7,788 cases, a cohort study in North Western India

Introduction: Gallbladder diseases are a well-studied subset of diseases in the Gangetic belt of India. But, the prevalence of gallbladder diseases, both benign and malignant (as a whole subset) has not been studied in Eastern Rajasthan yet. This study aims to provide an epidemiological...

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Main Authors: Bhushan Sanjay Bhalgat, Pinakin Patel, Suresh Singh, Phanindra Swain, Pravin Kumar, Kamal Kishor Lakhera, Bhairu Gurjar, Raj Govind Sharma, Ashwini Dilip Haibatpure
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2022-12-01
Series:Brazilian Journal of Oncology
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Online Access:https://www.brazilianjournalofoncology.com.br/details/229/en-US/gallbladder-and-other-pathologies--7-788-cases--a-cohort-study-in-north-western-india
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author Bhushan Sanjay Bhalgat
Pinakin Patel
Suresh Singh
Phanindra Swain
Pravin Kumar
Kamal Kishor Lakhera
Bhairu Gurjar
Raj Govind Sharma
Ashwini Dilip Haibatpure
author_facet Bhushan Sanjay Bhalgat
Pinakin Patel
Suresh Singh
Phanindra Swain
Pravin Kumar
Kamal Kishor Lakhera
Bhairu Gurjar
Raj Govind Sharma
Ashwini Dilip Haibatpure
author_sort Bhushan Sanjay Bhalgat
collection DOAJ
description Introduction: Gallbladder diseases are a well-studied subset of diseases in the Gangetic belt of India. But, the prevalence of gallbladder diseases, both benign and malignant (as a whole subset) has not been studied in Eastern Rajasthan yet. This study aims to provide an epidemiological overview of all histopathologically proven gall bladder diseases from standard pathology laboratories of Jaipur. Material and Methods: In this chart review analysis, we scrutinized all the records of histopathologically proven diseases at four major pathology departments and labs in Jaipur, Rajasthan over five years; of which 7,788 patients had gallbladder pathologies. We harnessed this raw data of gall bladder pathologies to obtain meaningful results. Results: Histopathological analysis revealed the percentage of gall bladder diseases overall of all the histopathologically proven diseases, in Rajasthan as 2.59%. The malignant pathologies accounted for 2.65% of it. Cholelithiasis (41.32%) was the most common benign pathology with acute cholecystitis with cholelithiasis (29.49%), chronic cholecystitis with cholelithiasis (18.73%), acute cholecystitis (8.28%), acalculous cholecystitis (1.11%), reactive hyperplasia (0.69%), mucocele (0.09%) and xanthogranulomatous cholecystitis (0.08%) in descending order of frequency. Adenocarcinoma (83.49%) was the most common malignant pathology found, followed by undifferentiated carcinoma (5.34%), squamous cell carcinoma (4.85%) and adenosquamous carcinoma (1.94%) in that order. Gradewise, malignancies were the most commonly of grade 2. The sex ratio favoured females in both the subsets; being 1:4 for benign and 1:2 for malignant pathologies. 61 to 70 years of age is the most affected age group for gall bladder malignancies for both the sexes. Conclusion: This study would make the difference in the national average and contribute hugely to the national registry, since it showcases the analysed data from a large geographic location of the country. It would also benefit the clinicians of Rajasthan in better decision-making for the patients of this region.
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spelling doaj-art-41f3d02af9894e93bdbe3e41d089f2a52025-08-20T03:55:41ZengThieme Revinter Publicações Ltda.Brazilian Journal of Oncology2526-87322022-12-01180010.5935/2526-8732.20220366Gallbladder and other pathologies: 7,788 cases, a cohort study in North Western IndiaBhushan Sanjay Bhalgat0https://orcid.org/0000-0002-8224-3916Pinakin Patel1Suresh Singh2Phanindra Swain3Pravin Kumar4Kamal Kishor Lakhera5Bhairu Gurjar6Raj Govind Sharma7Ashwini Dilip Haibatpure8SMS Medical College and Hospital, Surgical Oncology - Jaipur - Rajasthan - IndiaSMS Medical College and Hospital, Surgical Oncology - Jaipur - Rajasthan - IndiaSMS Medical College and Hospital, Surgical Oncology - Jaipur - Rajasthan - IndiaSMS Medical College and Hospital, Surgical Oncology - Jaipur - Rajasthan - IndiaSMS Medical College and Hospital, Surgical Oncology - Jaipur - Rajasthan - IndiaSMS Medical College and Hospital, Surgical Oncology - Jaipur - Rajasthan - IndiaSMS Medical College and Hospital, Pediatric Surgery - Jaipur - Rajasthan - IndiaMGM Medical College and Hospital, Surgical Oncology - Jaipur - Rajasthan - IndiaSDM Hospital,, Department of Neurology - Jaipur - Rajasthan - IndiaIntroduction: Gallbladder diseases are a well-studied subset of diseases in the Gangetic belt of India. But, the prevalence of gallbladder diseases, both benign and malignant (as a whole subset) has not been studied in Eastern Rajasthan yet. This study aims to provide an epidemiological overview of all histopathologically proven gall bladder diseases from standard pathology laboratories of Jaipur. Material and Methods: In this chart review analysis, we scrutinized all the records of histopathologically proven diseases at four major pathology departments and labs in Jaipur, Rajasthan over five years; of which 7,788 patients had gallbladder pathologies. We harnessed this raw data of gall bladder pathologies to obtain meaningful results. Results: Histopathological analysis revealed the percentage of gall bladder diseases overall of all the histopathologically proven diseases, in Rajasthan as 2.59%. The malignant pathologies accounted for 2.65% of it. Cholelithiasis (41.32%) was the most common benign pathology with acute cholecystitis with cholelithiasis (29.49%), chronic cholecystitis with cholelithiasis (18.73%), acute cholecystitis (8.28%), acalculous cholecystitis (1.11%), reactive hyperplasia (0.69%), mucocele (0.09%) and xanthogranulomatous cholecystitis (0.08%) in descending order of frequency. Adenocarcinoma (83.49%) was the most common malignant pathology found, followed by undifferentiated carcinoma (5.34%), squamous cell carcinoma (4.85%) and adenosquamous carcinoma (1.94%) in that order. Gradewise, malignancies were the most commonly of grade 2. The sex ratio favoured females in both the subsets; being 1:4 for benign and 1:2 for malignant pathologies. 61 to 70 years of age is the most affected age group for gall bladder malignancies for both the sexes. Conclusion: This study would make the difference in the national average and contribute hugely to the national registry, since it showcases the analysed data from a large geographic location of the country. It would also benefit the clinicians of Rajasthan in better decision-making for the patients of this region.https://www.brazilianjournalofoncology.com.br/details/229/en-US/gallbladder-and-other-pathologies--7-788-cases--a-cohort-study-in-north-western-indiagallbladder neoplasmsneoplasmsindiaepidemiology
spellingShingle Bhushan Sanjay Bhalgat
Pinakin Patel
Suresh Singh
Phanindra Swain
Pravin Kumar
Kamal Kishor Lakhera
Bhairu Gurjar
Raj Govind Sharma
Ashwini Dilip Haibatpure
Gallbladder and other pathologies: 7,788 cases, a cohort study in North Western India
Brazilian Journal of Oncology
gallbladder neoplasms
neoplasms
india
epidemiology
title Gallbladder and other pathologies: 7,788 cases, a cohort study in North Western India
title_full Gallbladder and other pathologies: 7,788 cases, a cohort study in North Western India
title_fullStr Gallbladder and other pathologies: 7,788 cases, a cohort study in North Western India
title_full_unstemmed Gallbladder and other pathologies: 7,788 cases, a cohort study in North Western India
title_short Gallbladder and other pathologies: 7,788 cases, a cohort study in North Western India
title_sort gallbladder and other pathologies 7 788 cases a cohort study in north western india
topic gallbladder neoplasms
neoplasms
india
epidemiology
url https://www.brazilianjournalofoncology.com.br/details/229/en-US/gallbladder-and-other-pathologies--7-788-cases--a-cohort-study-in-north-western-india
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