201. Surgical resection of solid gallbladder adenocarcinoma presenting as a large mass: report of a case
- Author
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Satoshi Hirano, Toshiaki Shichinohe, Yo Kurashima, Toru Nakamura, Yuma Ebihara, Eiji Tamoto, Soichi Murakami, Eiichi Tanaka, Takahiro Tsuchikawa, Nagato Sato, Satoshi Hayama, and Joe Matsumoto
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,Case Report ,Adenocarcinoma ,Surgical oncology ,medicine ,Humans ,Gallbladder cancer ,Surgical treatment ,Bile duct ,business.industry ,Clinicopathological feature ,Gallbladder ,General surgery ,Second opinion ,Middle Aged ,medicine.disease ,Prognosis ,Tumor thrombus ,medicine.anatomical_structure ,Oncology ,Solid adenocarcinoma ,Surgery ,Female ,Gallbladder Neoplasms ,Radiology ,Hepatectomy ,Gallbladder Neoplasm ,business - 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.
- Published
- 2014