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An Efficient Method to Obtain Dedifferentiated Fat Cells
Published on: July 15, 2016
Dedifferentiated liposarcoma of the gallbladder: first reported case
Adriano Carneiro da Costa1, Fernando Santa-Cruz2, Brena F Sena3
1Oncological Surgery Unit, Napoleão Laureano Hospital, Av. Flamboyant, 198, Anatólia, João Pessoa, PB, 58052-010, Brazil. adrianocacosta@gmail.com.
Background:
Liposarcoma of the gallbladder is an extremely rare sarcoma, with only five cases reported in the literature according to our knowledge.
Case Presentation:
A 71-year-old woman was referred to the Surgical Oncology Division of Napoleão Laureano Hospital (João Pessoa, PB, Brazil) due to a solid mass at the right side of the abdomen and fever, with no signs of jaundice. Abdominal ultrasonography and computed tomography (CT) evidenced an extensive gallbladder lobular formation adhered to the inferior border of the right hepatic lobe and cholelithiasis. The CT report suggested gallbladder liposarcoma. A cholecystectomy associated with resection of segments IV-B and V of the liver were performed. Intraoperative frozen sections were compatible with gallbladder sarcoma. Anatomopathological examination and immunohistochemistry confirmed dedifferentiated liposarcoma with foci of heterologous leiomyosarcomatous differentiation and undifferentiated fusocellular areas of high histological grade.
Conclusion:
This is the first case of dedifferentiated liposarcoma of the gallbladder to be reported.
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