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Early Carcinoma of the Gallbladder, Report of a Cace K. Yasuda 1 , Y. Mitsuyoshi 1 , M. Takebayashi 1 , M. Nakajima 1 , T. Ueda 2 , K. Sugawara 2 , M. Kato 2 1Department of Internal Medicine, Biwako Gastroenterological Hospital 2Department of Surgery, Biwako Gastroenterological Hospital pp.655-659
Published Date 1982/6/25
DOI https://doi.org/10.11477/mf.1403108956
  • Abstract
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 A 41-year-old woman complaining of right hypochondralgia and low grade fever of about one week's duration, was admitted to our hospital on March 12, 1981.

 Peroral cholecystograms showed abnormal gallbladder in its shape and contraction except for a mild irregularity of the wall at the neck. In abdominal ultrasonography (US) two small polypoid lesions without acoustic shadow or movement were noted at the neck of the gallbladder, where the wall was partially thickened. ERCP pictures also demonstrated two small polypoid lesions 6×3 mm in size and a Ⅱa-like, irregular, low elevated lesion 25×12 mm in size at the same portion of the gallbladder. No other abnormalities were found in the liver, biliary tract and pancreas.

 As these findings obtained by US and ERCP suggested an early cancer of the gallbladder with polypoid development, laparotomy was done. At laparotomy, no evidence of malignant invasion and metastasis was macroscopically found at the liver, biliary tract, pancreas, regional lymph nodes and other neighboring organs, as well as at the serosa of the gallbladder. Therefore, simple colecystectomy was done.

 On the histological examination the polyps were diagnosed as papillary adenomas with focal adenocarcinoma, and the Ⅱa-like elevated lesion was diagnosed as a well differentiated adenocarcinoma limited to the mucosa.


Copyright © 1982, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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