A Conversion Surgery for Unresectable Locally Advanced Gallbladder Cancer Treated with Gemcitabine and Cisplatin: a case report

DOI

Bibliographic Information

Other Title
  • Gemcitabine＋Cisplatin併用化学療法後にConversion Surgeryを施行し，R0切除を達成した切除不能進行胆嚢癌の1例

Search this article

Description

<p>A 69-year-old woman was diagnosed as unresectable locally advanced gallbladder cancer (LAGBC) with invasion to the right hepatic artery and portal vein. She received chemotherapy with gemcitabine and cisplatin. After 9 courses, the size of the tumor decreased and the metastasis was not identified. We planned conversion surgery. On laparotomy, the right hepatic artery was detached from the tumor. Therefore, we performed extended cholecystectomy, extrahepatic bile duct resection and regional lymphadenectomy. Pathological investigation confirmed poorly differentiated tubular adenocarcinoma, pT2 (SS) N0M0, Stage II, and R0 resection margins. The patient received no adjuvant therapy. 17 months after the surgery, she is alive without recurrence. The consensus of conversion surgery for unresectable LAGBC has not been determined. Further studies are required to establish treatment strategy of conversion surgery for unresectable LAGBC.</p>

Journal

  • Tando

    Tando 34 (4), 764-771, 2020-10-31

    Japan Biliary Association

Keywords

Details 詳細情報について

Report a problem

Back to top