Tornambè A, Aiello P S L, Tornambè G
G Chir. 2018 May-Jun;39(3):181-183.
Gallbladder cancer is the most frequent neoplasm originating from the extrahepatic biliary tract, with characteristics of late presentation and rapid progression. We report the case of a 58 years old female patient with concomitant small cell carcinoma and adenocarcinoma of the gallbladder, incidentally reported after a cholecystectomy performed for cholelithiasis. According to the stage of the disease, we performed a second surgical procedure with laparotomy, resection of the liver parenchyma IVb and V and regional lymphadenectomy. After multidisciplinary team consultation, the patient was not administrated chemotherapy. She was well followed up at our department and she is alive 12 month after surgery.
胆囊癌是最常见的起源于肝外胆道的肿瘤，具有就诊晚和进展快的特点。我们报告一例58岁女性患者，其胆囊同时存在小细胞癌和腺癌，该病例是在因胆结石行胆囊切除术后偶然发现的。根据疾病分期，我们进行了第二次手术，即剖腹手术、切除肝实质IVb和V段以及区域淋巴结清扫术。经过多学科团队会诊，未对该患者进行化疗。她在我们科室得到了良好的随访，术后12个月仍然存活。
