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Gallbladder: Insight on post (or pre) nephrectomy issues

sblairc's picture
sblairc
Posts: 586
Joined: Feb 2014

So while my husband is "no evidence of malignancy" on his CT scans, his gall bladder wall is "thickening." He also has gallstones. Of course, we don't see the oncologist until December, but I was wondering for those of you who had your gall bladder scanned, know anything about this.

I looked it up, of course, and found a very good article.  Thickening of the gallbladder wall  has many causes most of them relatively uninteresting but gall bladder cancer was mentioned so of course I'm concerned. 

 

Anyone have any knowledge on "gallbladder wall thickening?"

jason.2835
Posts: 337
Joined: Nov 2014

Gallbladder issues are what initially led to my incidental finding of the cancer.  My doctor wrote "abdominal" ultrasound rather than just the gallbladder.  Thank God she did because otherwise the hopsital probably wouldn't have scanned my left kidney.  

Wall thickening of the gallbladder happens when someone has gallstones and the gallbladder is generally unwell.  It sounds like he will have to get it out.  It's pretty common in the US because of our wonderful diets.  The next steps in the process of degneration will eventually be hardening of the gallbladder and then it can actually become calcified (harden) and even gangrenous (mine was).  If he doesn't have pain yet, he probably will in the future.  The oncologist or your GP may send you to a surgeon who does gallbladder removals. 

My removal was horrific and they had to go to an open procedure BUT that only happens in about 5% of cases.  Usually the procedure is done laparoscopic and it's pretty easy.

- Jay

sblairc's picture
sblairc
Posts: 586
Joined: Feb 2014

I knew you probably would have some insight. That helps. My mind, of course, went right to gallbladder cancer. Which is often diagnosed after routine gallbladder surgery, albeit it's a rare cancer. 

jason.2835
Posts: 337
Joined: Nov 2014

Yes, it's generally extremely rare.  Much higher probability that he's just having normal, run of the mill gallbladder problems.

- Jay

Kat23502's picture
Kat23502
Posts: 179
Joined: Feb 2016

Had he eaten for 8 hours prior?

sblairc's picture
sblairc
Posts: 586
Joined: Feb 2014

Hi! Thanks for asking. No, he had not eaten anything before the CT scan. It was probably about 10 hours prior he ate

Vivaldi
Posts: 27
Joined: Jun 2013

it is called adenomyomatosis....thickening of the mucosal layer of the gallbladder.  It can occur with or without stones. Sometimes it causes gallbladder symptoms, sometimes not. If it is symptomatic it can be removed, but it does not have to be. Mine was picked up incidentally after scanning for follow up of my partial nephrectomy. It can be caused by high cholesterol, by taking bile acid sequestration or other bile reducing mechanisms. It is not that common but I have it and I know of others who have it as well, with and without kidney tumours.  I don't have any gallstones. And I am not symptomatic. Therefore the recommendation was to leave it alone. Best of luck to you and your husband, no need to panic over this finding,  

foxhd's picture
foxhd
Posts: 3183
Joined: Oct 2011

removed 2 years before my cancer diagnosis. The kidney tumor should have been found at that time. But only an ultrasound was done. If I had had a ct scan, then I wouldn't have recieved 40-50 or more ct scans since then. Oh well.

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