Abstract
BackgroundAffections of the gallbladder remain exceedingly ubiquitous and often warrant surgical intervention. The histopathological patterns represent a spectrum, ranging from cholecystitis to gallbladder carcinoma. The present study aims to delineate the occurrence of various gallbladder histopathologies in a tertiary care hospital in Pakistan.MethodsA retrospective study was conducted at Maroof International Hospital, Islamabad, Pakistan. Histopathological records of 442 gallbladder specimens obtained from cholecystectomy were analysed. The prevalence of various histopathological outcomes was assessed. The data were eventually analysed using the SPSS 23.0 software (Armonk, NY: IBM Corp.). Thereafter, the distribution of various gallbladder histopathologies was tabulated across gender. ResultsOf the 442 patients included, 330 were females and 112 were males, with the mean age hovering at 45.77±14.65 years. The most common histopathological findings were chronic cholecystitis and cholesterolosis, observed in 78.6% and 32.8% of the patients, respectively. While only one case of gallbladder adenocarcinoma was observed, multiple specimens divulged premalignant lesions including reactive atypia and intestinal metaplasia.ConclusionsDiseases of the gallbladder often mandate prompt surgical intervention. Of these, chronic cholecystitis, which is an established risk factor for gallbladder carcinoma, is exceedingly common. The employment of histopathological techniques remains imperative in the detection of premalignant and malignant lesions that might otherwise evade macroscopic detection and thus progress to adenocarcinoma.
Highlights
The spectrum of ailments that afflict the gallbladder (GB) can be inflammatory, congenital, or neoplastic in nature [1,2]
Thereafter, the distribution of various gallbladder histopathologies was tabulated across gender
The employment of histopathological techniques remains imperative in the detection of premalignant and malignant lesions that might otherwise evade macroscopic detection and progress to adenocarcinoma
Summary
The spectrum of ailments that afflict the gallbladder (GB) can be inflammatory, congenital, or neoplastic in nature [1,2]. While carcinoma of the GB remains a relatively rare aetiology, ubiquitous conditions, such as chronic cholecystitis secondary to gallstones, can irritate the GB mucosa, thereby heralding the onset of metaplastic and dysplastic transformations. These transformations can, in turn, predispose the patients to the future development of gallbladder carcinoma (GBC) [4,5]. Chronic cholecystitis, a suspicion of malignancy often warrants thorough histopathological workup of the resected specimen [6,7].
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
