Role of Multidetector Computed Tomography (MDCT) in Diagnosis and Staging of Gall Bladder Carcinoma

Introduction: Gall bladder carcinoma is primary epithelial malignancy. Gall bladder mass is 5th common neoplasm of Gastrointestinal tract after ca colon, ca pancreas, ca stomach and ca oesophagus. It is more common in women of old age. It presents to clinician mostly in advance stage because in early stage it has nonspecific symptoms. It has two varieties – Adenocarcinoma ( most common) and sqaumous cell carcinoma. It presents as infilterating mass, focal intraluminal mass and focal mural thickening of gall bladder. Subject and methods: In our study, 30 patients were included of ages between 50 to 70 years. It was prospective study done during august 2018 to September 2019. All patients were examined by ultrasound before MDCT. After MDCT examination diagnosis were confirmed by histopathologically. Results: In our study, From 30 patients – 18 females& 12 males. All the patients were examined by ultrasound and MDCT which were confirmed by histopathologically. Infilterating mass found in 18 patient ( 60 %), intraluminal polypoidal growth found in 10 patient ( 36 %) and focal mural thickening of GB wall found in only 2 patient ( 4 %). Conclusion: After this study we concluded that MDCT is choice of investigation in detection, extension and staging of gall bladder cancer. MDCT also helps clinician before starting the management of ca gall bladder.