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    Gallbladder Cancer Treatment (PDQ®): Treatment - Patient Information [NCI] - Stages of Gallbladder Cancer

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    Stage IIIA

    In stage IIIA, cancer has spread through the thin layers of tissue that cover the gallbladder and/or to the liver and/or to one nearby organ (such as the stomach, small intestine, colon, pancreas, or bile ducts outside the liver).

    Stage IIIB

    In stage IIIB, cancer has spread to nearby lymph nodes and:

    • beyond the inner layer of the gallbladder to a layer of tissue with blood vessels or to the muscle layer; or
    • beyond the muscle layer to the connective tissue around the muscle; or
    • through the thin layers of tissue that cover the gallbladder and/or to the liver and/or to one nearby organ (such as the stomach, small intestine, colon, pancreas, or bile ducts outside the liver).

    Stage IVA

    In stage IVA, cancer has spread to a main blood vessel of the liver or to 2 or more nearby organs or areas other than the liver. Cancer may have spread to nearby lymph nodes.

    Stage IVB

    In stage IVB, cancer has spread to either:

    • lymph nodes along large arteries in the abdomen and/or near the lower part of the backbone; or
    • to organs or areas far away from the gallbladder.

    For gallbladder cancer, stages are also grouped according to how the cancer may be treated. There are two treatment groups:

    Localized (Stage I)

    Cancer is found in the wall of the gallbladder and can be completely removed by surgery.

    Unresectable, recurrent, or metastatic (Stage II, Stage III, and Stage IV)

    Unresectable cancer cannot be removed completely by surgery. Most patients with gallbladder cancer have unresectable cancer.

    Recurrent cancer is cancer that has recurred (come back) after it has been treated. Gallbladder cancer may come back in the gallbladder or in other parts of the body.

    Metastasis is the spread of cancer from the primary site (place where it started) to other places in the body. Metastatic gallbladder cancer may spread to surrounding tissues, organs, throughout the abdominal cavity, or to distant parts of the body.

    This information is produced and provided by the National Cancer Institute (NCI). The information in this topic may have changed since it was written. For the most current information, contact the National Cancer Institute via the Internet web site at http:// cancer .gov or call 1-800-4-CANCER.

    WebMD Public Information from the National Cancer Institute

    Last Updated: 8/, 015
    This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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