The main clinical manifestations of gallbladder cancer are pain in the middle upper abdomen or right upper abdomen, which may be intermittent or persistent, dull or colic, and progressively worsen. The abdominal pain may radiate to the right shoulder, back, chest, etc. Weight loss and jaundice are also common, and there may be loss of appetite, weakness, nausea and vomiting. However, it is not contagious. Gallbladder cancer is not contagious. In the early stages of gallbladder cancer, there are no specific clinical manifestations or only symptoms of chronic cholecystitis, and early diagnosis is very difficult. Once persistent pain, masses, jaundice and other lesions appear in the upper abdomen, it has reached the late stage, and various examinations have also shown abnormalities. Therefore, for patients with discomfort or pain in the gallbladder area, especially middle-aged and elderly patients over 50 years old, there is a risk of gallstone inflammation. Patients with polyps should undergo regular B-ultrasound examinations for an early and accurate diagnosis.One symptom 1. Right upper abdominal pain This symptom accounts for 84%. Since gallbladder cancer often coexists with gallstone inflammation, the pain is similar to that of gallstone cholecystitis. It starts with discomfort in the right upper abdomen, followed by persistent dull pain or dull pain, sometimes accompanied by paroxysmal severe pain and radiating to the right shoulder. 2. Most of the digestive tract symptoms include indigestion, aversion to greasy food, belching, and decreased appetite. This is because the gallbladder's renewal function cannot digest fat. 3. Jaundice Jaundice often occurs in the late stage of the disease, accounting for 36% of cases. It is mostly caused by cancer tissue invading the bile duct and causing malignant obstruction. It is accompanied by weight loss, fatigue, and even cachexia, yellowing of the skin and mucous membranes, and difficult-to-treat skin itching. 4. Fever Thirty percent of patients have fever 5. Mass in the right upper abdomen. When the disease develops to the late stage, the mass appears in the right upper abdomen or upper abdomen, accounting for 55%. One is that the tumor grows rapidly and blocks the bile duct, causing the gallbladder to swell; the other is that it invades the duodenum and causes obstruction symptoms at the same time; in addition, invasion of the liver, stomach, pancreas, etc. may also cause masses in the corresponding parts. Two body signs 1. Jaundice manifests itself as yellowing of the mucous membranes and skin. Severe yellowing is usually obstructive. Once jaundice occurs, the disease is usually in the late stage. 2. Right upper abdominal mass A relatively smooth and enlarged gallbladder can be felt in the right upper abdomen. When there is no adhesion to the surrounding tissues, it is highly mobile. When there is adhesion to the surrounding tissues, several lumps can be felt, and sometimes an enlarged liver and duodenal obstruction mass can be felt. |
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