Factors Responsible for Delayed Diagnosis of Carcinoma Gallbladder

Authors

  • Debashish Bar Senior consultant of surgery, OSD – DGHS, Mohakhali, Dhaka, Bangladesh
  • Abul Bashar Mohammed Khurshid Alam Professor of Surgery
  • Md Mohsen Chowdhury Professor and Chairman, Department of Hepatobiliary Pancreatic & Liver Transplant Surgery, BMU, Shahbagh, Dhaka, Bangladesh
  • Bidhan Chandra Das Professor, Department of Hepatobiliary Pancreatic and liver transplant Surgery, BMU, Shahbagh, Dhaka, Bangladesh
  • Ashik Mahmud Associate professor, Dept of surgery, Brahmanbaria Medical College, Brahmanbaria, Bangladesh
  • Nawreen Suzana Assistant Registrar, Department of Surgery, Colonel Maleque Medical College Hospital, Manikganj, Bangladesh

DOI:

https://doi.org/10.3329/jbcps.v43i4.85017

Keywords:

Carcinoma Gallbladder, Incidental carcinoma gallbladder, late diagnosis

Abstract

Background: Gallbladder cancer typically remains silent until an advanced and often noncurative stage with the shortest median survival after diagnosis. This poor prognosis is due to an aggressive biologic behavior and a lack of sensitive screening tests for early detection resulting in delayed diagnosis at advanced stage.  This study was conducted to find out the factors responsible for diagnosis of carcinoma gallbladder at advanced stage.

 Materials and Methods: This observational study was conducted in BSMMU from July 2022- June 2023 on 110 patients of carcinoma gallbladder. The patients were grouped into early (stage I, II) and advanced stage (stage III, IV) on the basis of imaging or histopathology report. All the variables related to diagnosis of carcinoma gallbladder were evaluated and factors related to delayed diagnosis were found out.

Results: Most of the patients of this study group (60%) were diagnosed at advanced stage.  Among the patients with advanced carcinoma gallbladder, 82% reported from rural area, 54% were from low income family and 95% patients’ educational status was up to HSC. Early gallbladder carcinoma mainly presented with pain (44%) and jaundice (31%) which resembles benign disease and Imaging findings of these patients were only GB wall thickening which does not strongly raise the suspicion of malignancy. In early gallbladder carcinoma group CA 19-9 and CEA were not significantly raised (32% and 25% respectively).

Conclusion: Rural residence, low educational level and poor economic status of the people of our study group; lack of specific symptom, sensitive imaging study and specific tumour marker at early stage of the disease was responsible for delayed diagnosis of carcinoma gallbladder at advanced stage.

J Bangladesh Coll Phys Surg 2025; 43: 255-160

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Published

2025-10-30

How to Cite

Bar, D., Alam, A. B. M. K., Chowdhury, M. M., Das, B. C., Mahmud, A., & Suzana, N. (2025). Factors Responsible for Delayed Diagnosis of Carcinoma Gallbladder. Journal of Bangladesh College of Physicians and Surgeons, 43(4), 255–260. https://doi.org/10.3329/jbcps.v43i4.85017

Issue

Vol. 43 No. 4 (2025)

Section

Original Articles

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