A case of carcinosarcoma of the gallbladder with acute cholecystitis as the first diagnositic clue.
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- MIZUNO Kiyoshi
- Department of Gastroenterology, Iwata City General Hospital
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- YOKOCHI Makoto
- Department of Gastroenterology, Iwata City General Hospital
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- IKEDA Kazuo
- Department of Gastroenterology, Iwata City General Hospital
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- HAMADA Sigeaki
- Department of Gastroenterology, Iwata City General Hospital
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- SAIDA Yasuhiko
- Department of Gastroenterology, Iwata City General Hospital
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- SUZUKI Kouichi
- Department of Gastroenterology, Iwata City General Hospital
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- YAMAGUCHI Yousuke
- Department of Gastroenterology, Iwata City General Hospital
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- OHISHI Masahiro
- Department of Gastroenterology, Iwata City General Hospital
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- IWASE Masanori
- Department of Gastroenterology, Iwata City General Hospital
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- KITAMURA Hiroshi
- Department of Surgery, Iwata City General Hospital
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- OHIWA Takayuki
- Department of Gastroenterology, Iwata City General Hospital
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- HOSHINO Makoto
- Department of Gastroenterology, Iwata City General Hospital
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- MTYAJI Makoto
- Department of Gastroenterology, Iwata City General Hospital
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- TAKEUCHI Toshihiko
- The First Department of Internal Medicine, Nagoya City University Medical School
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- NAKAMURA Shinichi
- The First Department of Pathology, Hamamatsu Medical College
Bibliographic Information
- Other Title
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- 急性胆嚢炎にて発症した胆嚢癌肉腫の1例
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Abstract
A 79-year-old man was admitted to our hospital suffering from abdominal pain. Abdominal US and CT revealed features of acute cholecystitis and a large elevated lesion in the fundus of the gallbladder. Cholangioscopy after PTCCD showed this tumor occupying the gallbladder to have a whitish surface with partial hemorrhage. Biopsied specimens were histologically diagnosed as adenocarcinoma. Celiac angiography demonstrated a marked increase in the number and caliber of cystic arteries in the area of the tumor. Extended cholecystectomy was performed. Macroscopically the resected tumor presented as a peducnculated polyp, measuring 65×30×30mm, with a smooth, multinodular surface, and a solid and whitish cut section.<BR>Histopathology revealed the tumor to be composed of a mixture of spindle cell sarcoma and well differentiated adenocarcinoma elements. The sarcomatous component demonstrated stromal character on immunohistochemical analysis, but epithelial character on electron microscopic study. Therefore, the possibility of gallbladder carcinoma transformation to sarcoma was noted. This case may prove of assistance in elucidating the occurrence of carcinosarcoma.
Journal
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- Tando
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Tando 4 (4), 499-504, 1990
Japan Biliary Association
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Keywords
Details 詳細情報について
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- CRID
- 1390282680444074880
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- NII Article ID
- 130004675915
- 50003215977
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- ISSN
- 09140077
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed