A case report of rapidly progressive gall bladder cancer that showed differentiation to the choriocarcinoma

DOI
  • Hanaki Takehiko
    Department of Surgery, Division of Surgical Oncology, Tottori University Faculty of Medicine
  • Sakamoto Teruhisa
    Department of Surgery, Division of Surgical Oncology, Tottori University Faculty of Medicine
  • Watanabe Joji
    Department of Surgery, Division of Surgical Oncology, Tottori University Faculty of Medicine
  • Tokuyasu Naruo
    Department of Surgery, Division of Surgical Oncology, Tottori University Faculty of Medicine
  • Naka Takuji
    Department of Surgery, Division of Surgical Oncology, Tottori University Faculty of Medicine
  • Ikeguchi Masahide
    Department of Surgery, Division of Surgical Oncology, Tottori University Faculty of Medicine

Bibliographic Information

Other Title
  • 絨毛癌への分化を示し急激な経過を辿った進行胆嚢癌の1例

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Description

A 60-year-old woman was referred to our department after a gall bladder tumor was identified by ultrasonography. While she was undergoing tests for general anesthesia, sudden abdominal pain became evident, followed by decrease in blood pressure and progressive anemia. Emergency computed tomography led to a diagnosis of intraperitoneal hemorrhage due to the rupture of an intrahepatic lesion, and hemostasis was performed by emergency interventional radiology. For the reason of imminent re-rupture risk, central hepatectomy (segment IV, V and VIII resection) en-blocking with gallbladder and extra-hepatic bile-duct resection was performed. On histopathological examination, tissue showing the morphological characteristics of choriocarcinoma was widespread in the area of hepatic infiltration and also was seen in the metastatic area in the liver and lymph node. Occurrence of choriocarcinoma in the gall bladder is extremely rare. Here, we summarize this case along with five previously reported cases and provide a short discussion of the literature.

Journal

  • Tando

    Tando 28 (5), 815-820, 2014

    Japan Biliary Association

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