Roppongi T, Takeyoshi I, Ohwada S, Sato Y, Fujii T, Honma M, Morishita Y
Department of Surgery, National Numata Hospital, Gunma, Japan.
Jpn J Clin Oncol. 2000 Jan;30(1):43-5. doi: 10.1093/jjco/hyd010.
Following a simple cholecystectomy, a 63-year-old woman with gallstones was histologically diagnosed as having minute squamous cell carcinoma of the gallbladder. A laparotomy revealed a small, firm nodule that appeared to be an adenoma, which was palpated in the fundus of the gallbladder. The resected gallbladder contained 37 small stones and a small and firm mass (0.4 x 0.4 x 0.3 cm in size) on the mucosal side. Histologically, a pure type of well-differentiated squamous cell carcinoma of the gallbladder was diagnosed. To our knowledge, this is the first case of a minute and pure type of squamous cell carcinoma in the gallbladder. This case may have implications for the histogenesis of squamous cell carcinoma of the gallbladder.
在进行简单的胆囊切除术后,一名患有胆结石的63岁女性经组织学诊断为患有微小胆囊鳞状细胞癌。剖腹探查发现一个小而硬的结节,看起来像是腺瘤,在胆囊底部可触及。切除的胆囊中有37颗小结石以及黏膜侧一个小而硬的肿块(大小为0.4×0.4×0.3厘米)。组织学检查诊断为胆囊纯型高分化鳞状细胞癌。据我们所知,这是胆囊微小纯型鳞状细胞癌的首例病例。该病例可能对胆囊鳞状细胞癌的组织发生具有启示意义。