Gallbladder villous adenoma in a patient with acromegaly: a case report
Miodrag Krstic1, Tamara Alempijevic, Bojan Stimec
1Clinic for Gastroenterology, Clinical Center of Serbia, 2 Koste Todorovica, Belgrade 11000, Serbia. misa@tehnicom.net
Abstract:
Villous adenomas are benign epithelial lesions with malignant potential that can occur in any part of the gastrointestinal tract. We present a case of a middle age woman with acromegaly who was investigated for nonspecific gastrointestinal complaints. Ultrasonography and subsequent endosonography diagnosed a large (4.5 cm), hyperechoic, sessile polyp with numerous pedicles. An open cholecystectomy was performed and revealed a villous adenoma with several foci of carcinoma in situ. Detailed investigations showed no other tumors of the gastrointestinal tract. After five years of follow-up, the patient reports no complaints, and the results of laboratory testing and imaging studies are within the normal range.
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