Solitary fibrous tumor of the gallbladder: a case report

被引:0
作者
Sekine, Kiwako [1 ]
Nakaseko, Yuichi [1 ,2 ]
Nakashima, Keigo [1 ]
Kamada, Teppei [1 ]
Takahashi, Junji [1 ]
Koja, Manabu [2 ]
Fukushima, Naoko [2 ]
Iwase, Ryota [1 ,2 ]
Usuba, Teruyuki [2 ]
Ogawa, Masaichi [2 ]
Suzuki, Yutaka [1 ]
机构
[1] Int Univ Hlth & Welf Hosp, Dept Surg, 537-3 Iguchi, Nasushiobara, Tochigi 3292763, Japan
[2] Jikei Univ, Katsushika Med Ctr, Dept Surg, 6-41-2 Aoto,Katsushika Ku, Tokyo 1258506, Japan
来源
SURGICAL CASE REPORTS | 2024年 / 10卷 / 01期
关键词
Case report; Solitary fibrous tumor; Gallbladder; DIAGNOSIS;
D O I
10.1186/s40792-024-02057-8
中图分类号
R61 [外科手术学];
学科分类号
摘要
BackgroundPrimary solitary fibrous tumors (SFTs) of the gallbladder are rare. Here, we report the case of a patient who underwent surgical treatment for a primary SFT originating in the gallbladder.Case presentationA 48-mm gallbladder tumor was detected in a 70-year-old man using abdominal ultrasonography at a primary hospital, and he was subsequently referred to our department. A 50-mm enhanced tumor in the gallbladder was identified using computed tomography. Magnetic resonance imaging revealed a smooth-marginated tumor with hyperintensity on T2-weighted imaging. 18F-Fluorodeoxyglucose positron emission tomography confirmed high-level fluorodeoxyglucose uptake in the gallbladder tumor in the early phase without increasing uptake in the later phase. Surgical resection was planned to evaluate the tumor diagnosis. Initially, we performed open cholecystectomy with wedge resection of the gallbladder bed. Intraoperative pathological examination suggested gallbladder cancer; therefore, we performed radical surgery, including resection of the common bile duct, extended radical lymphadenectomy, and choledochojejunostomy. Ultimately, the final pathological examination revealed an SFT originating from the gallbladder with a negative surgical margin. Postoperatively, the patient developed bile leakage that was treated with tube drainage. The patient recovered satisfactorily and was discharged on postoperative day 20. At 24 months postoperatively, the patient was in good general condition without recurrence.ConclusionsWe report a rare case of a primary SFT originating in the gallbladder. Clinicians should be aware that SFT can be found in the gallbladder, and when it is difficult to make a preoperative diagnosis, surgical treatment should be considered.
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页数:6
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