Gallbladder carcinoid masquerading as gallbladder carcinoma
Mallika Tewari1, Vinay Kumar, Raghvendra Raman Mishra
1Department of Surgical Oncology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, U.P., India.
Background:
Carcinoid of the gallbladder is rare. Since it often presents as a gallbladder mass it may be confused with gallbladder carcinoma.
Methods:
A 35-year-old lady presented with pain in the right upper abdomen, and was radiologically found to have a gallbladder mass. A provisional diagnosis of gallbladder carcinoma was made. Laparotomy revealed a 20 x 20 cm, exophytic, friable growth arising from the fundus of the gallbladder. It was excised with segment IVb and V of the liver and regional lymphadenectomy.
Result:
Histopathological examination revealed it was a neuroendocrine carcinoma, atypical carcinoid of the gallbladder.
Conclusion:
Gallbladder carcinoid has a poor outcome, requires aggressive treatment, and should be considered as one of the rare but possible gallbladder lesions.
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