Synchronous but separate neuroendocrine tumor and high-grade dysplasia/adenoma of the gall bladder: A case report

被引:0
作者
Hsiao, Tsung-Hsien [1 ]
Wu, Chao-Chuan [2 ]
Tseng, Hui-Hwa [3 ]
Chen, Jiann-Hwa [4 ,5 ]
机构
[1] Taipei Tzu Chi Hosp, Div Gastroenterol & Hepatol, New Taipei 231, Taiwan
[2] Taipei Tzu Chi Hosp, Dept Surg, New Taipei 231, Taiwan
[3] Taipei Tzu Chi Hosp, Dept Pathol, New Taipei 231, Taiwan
[4] Buddhist Tzu Chi Med Fdn, Taipei Tzu Chi Hosp, Div Gastroenterol & Hepatol, 289 Chien Kao Rd, New Taipei 231, Taiwan
[5] Buddhist Tzu Chi Med Fdn, Taipei Tzu Chi Hosp, Dept Internal Med, 289 Chien Kao Rd, New Taipei 231, Taiwan
关键词
Synchronous; Neuroendocrine tumor; Adenoma with high-grade dysplasia; Gall bladder; Case report; CELL-CARCINOMA; INTESTINAL METAPLASIA; GOBLET CELLS; GALLBLADDER; DIFFERENTIATION; CANCER; ADENOCARCINOMA; EPITHELIUM; SERIES;
D O I
10.12998/wjcc.v10.i7.2322
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BACKGROUND Gall bladder neuroendocrine tumors (GB-NETs) are rare, accounting for less than 0.5% of all NETs. They usually lack specific symptoms and are difficult to diagnose preoperatively. In most cases, GB-NETs are incidentally found after cholecystectomy for large polyps or cholelithiasis, causing acute or chronic cholelithiasis. The coexistence of GB-NET and GB adenocarcinoma is very rare. CASE SUMMARY We report a case of synchronous but separate GB-NET and adenoma with high-grade dysplasia in a patient who had undergone surgery for a progressively growing GB polypoid lesion. To the best of our knowledge, simultaneous separation of NETs and cancer in the GB has not been reported. CONCLUSION Coexistent GB carcinoid tumor and adenocarcinoma is rare. A surveillance program is needed for these large GB polyps.
引用
收藏
页码:2322 / 2329
页数:8
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