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Gallbladder adenomyomatosis with tubercular portal lymphadenopathy masquerading as gallbladder carcinoma
Ramdip Ray1, Rajesh Dey, Souvik Chatterjee
1Department of General Surgery, Medical College, Kolkata, 88 College Street, Kolkata 700073, West Bengal, India.
Abstract:
Gallbladder carcinoma is more likely to occur in elderly females and the presence of periportal adenopathy often signifies advanced disease. Such patients are generally not taken up for surgery and are treated palliatively. Isolated periportal tuberculosis without the evidence of disease elsewhere is in itself a rarity. Here we present a case study of gallbladder mass suspected of being gallbladder carcinoma with portal lymphatic metastasis actually turning out to be that of gallbladder adenomyoma with periportal tuberculosis. This case illustrates how mass lesions of the gallbladder are commonly and falsely interpreted to be malignant.
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