Cancers of the biliary tract, including cancers of the gallbladder, ex
tra-hepatic bile ducts, and ampulla of Vater, are relatively uncommon
malignancies. From 1972 to 1994, biliary tract cancer was the most rap
idly rising malignancy in Shanghai, China, with a 119% increase in men
and 124% in women. The increase in incidence was seen for all 3 subsi
tes, both sexes, and all age groups. Future studies are needed to iden
tify reasons for the large increases in these rates. (C) 1998 Wiley-Li
ss, Inc.(dagger)