Kohtani Takashi, Masuda Jun, Hisaki Toshiko, Shimase Kouichi, Mizuguchi Kunio
Department of Surgery, Yoshida Municipal Uwajima Hospital, Uwajima, Japan.
Case Rep Gastroenterol. 2009 Aug 28;3(2):235-239. doi: 10.1159/000229592.
Carcinosarcomas, often referred to as malignant mixed tumors, are rare neoplasm. We reported herein a carcinosarcoma of the gallbladder in an elderly patient with long-term survival (4 years). The operation carried out was open cholecystectomy under the preoperative diagnosis of chronic cholecystitis and tumor of the gallbladder. Anticancer chemotherapy after cholecystectomy was performed by oral low-dose FT therapy. He was alive with no evidence of disease 48 months after surgery. Long-term survival for only cholecystectomy treatment as in this case may be possible if oral low-dose FT anticancer therapy is effective against carcinosarcoma of the gallbladder.
癌肉瘤，通常被称为恶性混合瘤，是一种罕见的肿瘤。我们在此报告一例老年胆囊癌肉瘤患者长期存活（4年）的病例。手术采用开腹胆囊切除术，术前诊断为慢性胆囊炎和胆囊肿瘤。胆囊切除术后通过口服低剂量FT疗法进行抗癌化疗。术后48个月他仍存活，无疾病证据。如果口服低剂量FT抗癌疗法对胆囊癌肉瘤有效，像本例仅行胆囊切除术治疗也可能实现长期存活。
