When to seek urgent help with gallbladder cancer (NHS 111 and 999)
Call 999 for signs of sepsis or heavy bleeding; ring the hospital's 24-hour line or NHS 111 the same day for a temperature or shivering with a stent, for new or returning jaundice, for pain the painkillers do not control, or for being sick for more than two days.
Overview
The NHS wording, situation by situation. Sepsis (999 or A&E): an adult who "is breathing very fast", "is confused, has slurred speech, or is not making sense", "has blue, pale or blotchy skin", "has a very high or very low temperature, feels hot or cold to the touch, or is shivery", "has a rash that does not fade when you press it" or "has symptoms you're worried might be sepsis"; people having chemotherapy are at higher risk. Bleeding (999 or A&E): vomiting blood and feeling "generally unwell", "confused", "faint or dizzy", with "rapid or shallow breathing", "cold, clammy, pale skin", "tummy pain" or "black poo"; if the vomiting of blood has stopped and there are no other symptoms, "ask for an urgent GP appointment, call 111 or get help from 111 online". Jaundice (urgent GP or 111): "your skin or the white part of your eyes look yellow". Being sick for more than 2 days (urgent GP or 111), from the NHS gallbladder cancer page. Infection with a stent: Cancer Research UK says "contact your doctor straight away if you have signs of infection such as a high temperature or shivering".
The NHS says 999 "is for life-threatening emergencies" and to "get help from NHS 111 if you're not sure if you need to call 999". For anyone on chemotherapy or immunotherapy the hospital's 24-hour oncology line is the first call for a temperature of 38 C or higher; the site's red cards quote the thresholds from the labels and NICE. This is orientation from public patient pages, not advice for your case: your own team's instructions and 24-hour number come first.
- Pancreatic head (most PDAC)
- Body and tail
- Ampulla
- Islets (pancreatic NET)
- Intrahepatic ducts
- Perihilar (Klatskin)
- Distal bile duct
- Gallbladder
- Nodes: peripancreatic
- Nodes: hepatic hilar
- Nodes: coeliac and superior mesenteric
Most pancreatic cancers arise in the head next to the bile duct, which is why jaundice is the presenting sign; bile duct cancers are named by where along the tree they sit.
- Pancreatic head (most PDAC)
- Body and tail
- Ampulla
- Islets (pancreatic NET)Neuroendocrine carcinoma of the gallbladder (small cell and large cell; under 5 percent)
- Intrahepatic ducts
- Perihilar (Klatskin)
- Distal bile duct
- GallbladderGallbladder adenocarcinoma (about 90 percent; biliary, intestinal, mucinous and other patterns) · Papillary carcinoma of the gallbladder, and its precursor the intracholecystic papillary neoplasm · Mucinous carcinoma of the gallbladder (about 2.5 percent) · Adenosquamous and squamous carcinoma of the gallbladder (about 5 percent) · Neuroendocrine carcinoma of the gallbladder (small cell and large cell; under 5 percent) · Incidental gallbladder cancer found in the cholecystectomy specimen · Carcinoma in situ and dysplasia of the gallbladder (biliary intraepithelial neoplasia; stage 0) · Cystic duct carcinoma (staged with gallbladder cancer)
- peripancreatic
- hepatic hilar
- coeliac and superior mesenteric
Same organ: Pancreatic ductal adenocarcinoma, Biliary tract cancer (cholangiocarcinoma), Intrahepatic cholangiocarcinoma, Extrahepatic cholangiocarcinoma (perihilar and distal), Biliary tract cancer (all types), Neuroendocrine tumours, Pancreatic neuroendocrine tumours, Grade 3 well-differentiated neuroendocrine tumour, Extrapulmonary neuroendocrine carcinoma, Gallbladder adenocarcinoma, Papillary carcinoma of the gallbladder, Mucinous carcinoma of the gallbladder, Adenosquamous and squamous carcinoma of the gallbladder, Neuroendocrine carcinoma of the gallbladder, Incidental gallbladder cancer (found after cholecystectomy), Carcinoma in situ and dysplasia of the gallbladder, Cystic duct carcinoma, Ampullary cancer (ampulla of Vater), Resectable pancreatic ductal adenocarcinoma, Borderline resectable pancreatic ductal adenocarcinoma, Locally advanced unresectable pancreatic ductal adenocarcinoma, Metastatic pancreatic ductal adenocarcinoma, KRAS G12C-mutant pancreatic ductal adenocarcinoma, KRAS wild-type pancreatic ductal adenocarcinoma, BRCA or PALB2-mutant pancreatic ductal adenocarcinoma, Mismatch repair deficient (MSI-high) pancreatic ductal adenocarcinoma, Pancreatic acinar cell carcinoma, Intraductal papillary mucinous neoplasm and other pancreatic cystic precursors, Pancreatoblastoma
Showing the organ this term concerns: Gallbladder cancer.
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