特異な発育様式を示した胆嚢癌の1例

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  • GALLBLADDER CARCINOMA GROWING INSIDE THE BILE DUCT IN ONE CASE

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We have experienced a case of gallbladder carcinoma growing inside the bile duct. The patient was a 47-year-old woman with a chief complaint of right hypochondrial pain. Slight dysfunction of the liver was noted at the time of admission. Abdominal CT, US and MRI showed a tumor in the gallbladder, that seemed to grow inside the bile duct. The gallbladder, adjacent segment of the bile duct and liver were resected en bloc, and a Roux-en-Y choledochojejunostomy was performed. Intraoperative findings confirmed the tumor's growth in the bile duct. Histologic analysis revealed well-differentiated adenocarcinoma of the gallbladder. Although the tumor had infiltrated the muscle layer of the cervical region of the gallbladder, no cancerous involvement of the bile duct was detected.<br> She died of metastasis of liver 3 years after surgery.

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