Staging of Gall Bladder Cancer

American Joint Committee on Cancer (AJCC)—International Union Against Cancer (UICC) tumor node metastasis (TNM) staging system is most commonly followed for gall bladder cancer. Japanese surgeons frequently use the Japan Society of Biliary Surgery (JSBS) classification; lymph nodal staging is better in the JSBS classification. Frequent haphazard changes have been made in the staging of gall bladder cancer in various editions of the AJCC-UICC staging. The author (VKK) proposes some changes in the AJCC-UICC staging of gall bladder cancer to bring it in uniformity with other organs; inclusion of jaundice and the site of tumor in the gall bladder are also suggested.