A Large Carcinosarcoma of the Gallbladder Accompanied by Pancreaticobiliary Maljunction: A Case with a Six-year Survival

被引：8

作者：

Matsubayashi, Hiroyuki ^{[1
]}

Matsui, Toru ^{[1
]}

Sugiura, Teichi ^{[2
]}

Makuuchi, Rie ^{[3
]}

Kaneko, Junichi ^{[1
]}

Satoh, Junya ^{[1
]}

Satoh, Tatsunori ^{[1
]}

Fujie, Shinya ^{[1
]}

Ishiwatari, Hirotoshi ^{[1
]}

Sasaki, Keiko ^{[4
]}

Ono, Hiroyuki ^{[1
]}

机构：

[1] Shizuoka Canc Ctr, Div Endoscopy, Nagaizumi, Shizuoka, Japan

[2] Shizuoka Canc Ctr, Div Hepatobiliary Pancreat Surg, Nagaizumi, Shizuoka, Japan

[3] Shizuoka Canc Ctr, Div Gastr Surg, Nagaizumi, Shizuoka, Japan

[4] Shizuoka Canc Ctr, Div Pathol, Nagaizumi, Shizuoka, Japan

来源：

INTERNAL MEDICINE | 2019年 / 58卷 / 19期

关键词：

carcinosarcoma; gallbladder; pancreatobiliary maljunction; prognosis; SARCOMATOID CARCINOMA; CELL CARCINOMA; BLADDER; TUMOR;

D O I：

10.2169/internalmedicine.2783-19

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pancreatobiliary maljunction (PBM) is a rare congenital malformation, often associated with adenocarcinoma. However, PBM accompanying gallbladder carcinosarcoma has rarely been reported. A 72-year-old woman was referred to our hospital, complaining of abdominal pain. Computed tomography showed a polypoid mass in the gallbladder. Endoscopic retrograde cholangiopancreatography showed PBM, and aspirated bile demonstrated elevated levels of pancreatic-type amylase (26,780 U/L) and cancer cells. Extended cholecystectomy was performed. Histologically, the tumor had adenocarcinoma, squamous cell carcinoma and sarcoma components. Despite the large tumor size (84 mm) and intra-vessel cancer permeations, this patient has been healthy for 73 months since the surgery.

引用

页码：2809 / 2817

页数：9

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