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A CASE OF ADENOMYOMATOSIS WITH AN EARLY CARCINOMA OF THE GALLBLADDER
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- NONAKA Kyoei
- Departments of Surgery II, Toho University School of Medicine
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- KOSHINO Hideyuki
- Departments of Surgery II, Toho University School of Medicine
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- NOZAKI Tatsuo
- Departments of Surgery II, Toho University School of Medicine
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- HASHIMURA Chiaki
- Departments of Surgery II, Toho University School of Medicine
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- KITAHARA Shinzo
- Departments of Surgery II, Toho University School of Medicine
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- SHIBA Tadaaki
- Departments of Surgery II, Toho University School of Medicine
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- NONAKA Hiroko
- Departments of Pathology I, Toho University School of Medicine
Bibliographic Information
- Other Title
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- Adenomyomatosisに合併した早期胆嚢癌の1例
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Description
We experienced a case of bilocular gallbladder due to adenomyomatosis (ADM) with an early carcinoma of the gallbladder, which is relatively rare, in a 79-year-old woman. Abdominal ultrasonography and CT scanning revealed an uneven tumor of solid and cystic pattern with fine calcification in the fundus of the gallbladder. Contrast enhanced CT showed a 38×25mm tumor with a periphery only where slight accumulation of a contract material was seen. A carcinoma of the gallbladder associated with ADM of segmental type (type s) was suspected, and a cholecystectomy was performed. In the resected gallbladder, a great number of Rokitansky-Ashoff sinuses (RAS) of chronic cholecystitis in the fundus as well as thickening of the muscular layer were observed, indicating type s ADM. The adenocarcinoma in the fundus of the gallbladder was less than 1cm in size, and the carcinoma in mucosa was well differentiated adenocarcinoma with the invasion depth of mp and infiltrating into the muscular layer as well as extending in RAS. In addition, mucinous papillary adenoma like findings and atypical glandular epithelium were seen in the RAS glandular epithelium. A possibility that glandular epithelium had acquired various characters in the course of proliferation is suggested in this case.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 59 (8), 2136-2141, 1998
Japan Surgical Association
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Keywords
Details 詳細情報について
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- CRID
- 1390001204848098304
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- NII Article ID
- 10009372188
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
- http://id.crossref.org/issn/13452843
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- OpenAIRE
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- Abstract License Flag
- Disallowed