Gallbladder carcinoma clinically mimics benign gallbladder diseases and
often escapes detection until advanced stage. Risk factors include
advanced age, female gender, cholelithiasis, porcelain gallbladder,
gallbladder polyps, congenital biliary cysts, chronic infection and
smoking. The role of radiological imaging is limited to the use of
ultrasound, CT scans, endoscopic/FNA and histopathological examination
procedures for diagnostic and staging purposes. Routine submission of
all post-cholecystectomy gallbladder specimens for histopathology to
detect cancer is standard practice at many institutions globally. GBS
prompted advocacy for selective GBS submission based on demographic,
clinical and macroscopic features as indications for evaluation,
considered logical from a practical and cost-effective perspective,
especially in resource constrained healthcare systems. The frequency of
GBC determined, multivariate analysis of demographic and diagnostic
subtypes used to identify associations and risk factors for GBC.