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The incidence of carcinoma of the gall bladder is high in eastern Uttar
Pradesh and western Bihar, both regions lying downstream of the River
Ganges, which is heavily polluted with heavy metals. To investigate
whether gall bladder cancer might be associated with exposure to heavy
metals Shukla et al measured concentrations of cadmium, chromium, and
lead in the gall bladders of 38 patients with gall bladder cancer and
51 with gall stones (p 1288). They found much higher mean
concentrations of the metals in the patients with cancer.