Early detection of gallbladder cancer: Current status and future perspectives

Table 11 Proposed scoring system for further evaluation to identify early gall bladder cancer

Patient and imaging factors	Presence or absence of factor	Score
Area from patients belongs	High Endemic area (Chile, Gangetic belt in India, Pakistan, Bolivia)	3
	Moderate endemic area (Japan, Korea, Latin America)	2
	Low endemic area (United States)
	Non endemic area	1
Middle or old aged female	Yes	2
	No	1
Long standing biliary colicky pain	Yes	2
	No	1
Recent change in character of pain	Yes	2
	No	1
Unexplained weight loss present	Yes	2
	No	1
Any associated risk factors like PSC, PBM, calcific gall bladder	Yes	1 for each
Gall stone size	> 3 cm	2
	< 3 cm	1
Polyp	Polyp with lobular surface, vascular core or hypo-echoic polyp or hypoechoic foci or a polyp size of greater than 1 cm or sessile polyp	2
	Other polyps	1
Mass and texture of gall bladder wall	Mass filling GB	3
	Asymmetrical wall thickness	1
	Loss of layered structure of wall localized GB wall thickening > 4 mm	1
	Normal GB wall	1

GB: Gall bladder; PSC: Primary sclerosing cholangitis; PBM: Pancreaticobiliary maljunction.