Análise de incidência de câncer de vesícula biliar em pacientes atendidos no Laboratório Municipal de Saúde Pública do Recife (2014 - 2022).

Abstract

Gallbladder cancer (GBC) is considered a rare type of cancer by the World Health Organization (WHO) and characterized by the absence of symptoms in the early stages, but in advanced stages manifests with abdominal pain. The WHO considers this type of tumor as the most common in the biliary tract, associating it with risk factors such as gallstones, age, female sex, and a higher propensity in white individuals. This study aimed to evaluate the prevalence of gallbladder cancer in patients undergoing elective cholecystectomies, assessing the occurrence of GBC in patients treated at the Municipal Public Health Laboratory of the Recife- Pernambuco from 2014 to 2022. An observational, retrospective, descriptive-analytical study was conducted using secondary sources of patients diagnosed with GBC from 2014 to 2022. A total of 17,970 medical records were analyzed during the study period. Among these, 10 were related to the gallbladder, and only 2 had a diagnosis of GBC. The female sex was present in 70% (7/10) of the cases and 50% were diagnosed with gallstone disease. The most performed operation was simple cholecystectomy. In the two patients with GBC, the diagnosis of gallbladder adenocarcinoma was confirmed. Tumor staging revealed 50% (1/2) at stage IIIb and 50% (1/2) at stage II among the examined cases. Thus, this study confirmed the prevalence of gallbladder adenocarcinoma in GBC and identified cholelithiasis as the main risk factor similar to previous studies.