Surgical resection of solid gallbladder adenocarcinoma presenting as a large mass: report of a case.

Abstract

This report describes a case of a patient with a large solid gallbladder adenocarcinoma that was completely resected through aggressive surgery. The patient was a 57-year-old woman who had been diagnosed with advanced gallbladder cancer, had no indications for surgical resection and was scheduled to undergo systemic chemotherapy. She presented to our hospital for a second opinion. At the time of assessment, her tumor was large but was well-localized and had not invaded into the surrounding tissues, indicating that surgical resection was a reasonable option. Subsequently, the tumor was completely extracted via right hepatectomy with en bloc resection of the caudate lobe and extrahepatic bile duct. Histopathologically, the tumor was a solid adenocarcinoma. Although there are relatively few reports in the literature regarding solid gallbladder adenocarcinoma, well-localized growth appears to be a characteristic feature. On the basis of a tumor's progression behavior, aggressive surgical treatment might be indicated even when the tumor has grown to a considerable size.

• Authors: Satoshi Hayama, Satoshi Hirano, Nagato Sato, Yuma Ebihara, Yo Kurashima, Soichi Murakami, Eiji Tamoto, Toru Nakamura, Joe Matsumoto, Takahiro Tsuchikawa, Eiichi Tanaka, Toshiaki Shichinohe
• Journal: World journal of surgical oncology (World J Surg Oncol) Vol. 13 Pg. 29 (Feb 07 2015) ISSN: 1477-7819 [Electronic] England
• PMID: 25884804 (Publication Type: Case Reports, Journal Article)

Topics

• Adenocarcinoma (pathology, surgery)
• Female
• Gallbladder Neoplasms (pathology, surgery)
• Humans
• Middle Aged
• Prognosis