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Long‐term survival of a patient with advanced adenosquamous carcinoma of the gallbladder after radical resection
Author(s) -
Fujita Takeo,
Fukuda Kazuma,
Ohmura Yasushi,
Nishi Hideyuki,
Mano Masayuki,
Komatsubara Syokichi,
Doihara Hiroyoshi,
Shimizu Nobuyoshi
Publication year - 2005
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s00534-004-0944-1
Subject(s) - adenosquamous carcinoma , gallbladder , medicine , abdominal ultrasonography , carcinoma , adenocarcinoma , gastrectomy , fundus (uterus) , cholecystectomy , stage (stratigraphy) , radiology , general surgery , gastroenterology , surgery , ultrasonography , cancer , paleontology , biology
Patients with adenosquamous carcinoma of the gallbladder tend to present with a bulky tumor that frequently displays involvement with adjacent organs, and diagnosis is usually made at an advanced stage. This may contribute to the poor prognosis of patients with adenosquamous carcinoma of the gallbladder compared to patients with adenocarcinoma. We present herein a patient with advanced adenosquamous carcinoma of the gallbladder who is doing well with no evidence of recurrence more than 5 years after radical resection. A 72‐year‐old woman complaining of generalized fatigue and loss of appetite was referred to our hospital with suspected cholelithiasis, following ultrasonography done at another hospital. On admission, abdominal ultrasonography and computed tomography revealed an irregularly shaped solid mass extending from the fundus of the gallbladder, and invasion of the stomach was strongly suspected. Gallbladder carcinoma was diagnosed, and radical resection, including partial gastrectomy, was performed. Histopathologically, adenosquamous carcinoma was diagnosed, and it was graded as si, hinf0, binf0, pv0, a0, t4, n0, and stage IVa.