Department of Radiology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Cancer Res Treat. 2011 Mar;43(1):71-4. doi: 10.4143/crt.2011.43.1.71. Epub 2011 Mar 31.
Porcelain gallbladder is regarded as a risk factor of gallbladder cancer. A porcelain gallbladder with calcified regional lymph nodes was found using computed tomography (CT) and magnetic resonance imaging (MRI) in a 43-year-old man who presented with nausea, vomiting, and abdominal pain. His cholecystectomy specimen showed diffuse wall thickening and contained small gallstones. Histological examination revealed diffuse infiltrative adenocarcinoma with extensive intratumoral calcification (calcified carcinoma). The majority of the calcified material was located within or replaced the tumor glands, and was not found in the stroma. A lymph node was totally replaced with a calcified metastatic adenocarcinoma. To the best of our knowledge, only one case of calcified lymph node metastasis from a calcified carcinoma of the gallbladder has been previously reported in the literature. We herein add a case of calcified carcinoma of the gallbladder with calcified lymph node metastasis, presenting as a porcelain gallbladder on CT and MRI.
瓷化胆囊被认为是胆囊癌的一个危险因素。一名 43 岁男性因恶心、呕吐和腹痛，在计算机断层扫描（CT）和磁共振成像（MRI）中发现瓷化胆囊伴钙化区域性淋巴结。他的胆囊切除术标本显示弥漫性壁增厚并含有小胆石。组织学检查显示弥漫浸润性腺癌伴广泛肿瘤内钙化（钙化癌）。大部分钙化物质位于肿瘤腺体内部或取代肿瘤腺体，而不在基质中。一个淋巴结完全被钙化转移性腺癌取代。据我们所知，文献中仅报道过一例由胆囊钙化癌引起的钙化淋巴结转移病例。我们在此添加一例伴有钙化淋巴结转移的胆囊钙化癌病例，在 CT 和 MRI 上表现为瓷化胆囊。
