Nobori Chihoko, Kodai Shintaro, Kanazawa Akishige, Hamano Genya, Kinoshita Masahiko, Murata Akihiro, Shimizu Sadaaki, Ikeda Katsumi, Ogawa Yoshinari, Maeda Kiyoshi
Dept. of Gastrointestinal Surgery, Osaka City General Hospital.
Gan To Kagaku Ryoho. 2019 Dec;46(13):2294-2296.
In June 2018, a 75-year-old woman was admitted for right upper quadrant pain. She had a history of radical mastectomy for left breast cancer in April 2009. The axillary lymph node, bone, gastric, and pleural metastases had been treated with hormonal therapy for 2 years from April 2016. Based on the examination findings, we diagnosed her with acute calculous cholecystitis and performed emergency percutaneous transhepatic gallbladder drainage(PTGBD). Eleven days after PTGBD, we performed laparoscopic cholecystectomy. Pathological examination revealed a metastatic tumor from breast cancer in her gallbladder. Although her postoperative course was uneventful, the patient died of progression of the other organ metastasis 7 months after cholecystectomy. Gallbladder metastasis should be considered in patients with advanced breast cancer who present symptoms of cholecystitis.
2018年6月，一名75岁女性因右上腹疼痛入院。她曾于2009年4月接受左乳腺癌根治性乳房切除术。自2016年4月起，其腋窝淋巴结、骨、胃和胸膜转移灶接受了2年的激素治疗。根据检查结果，我们诊断她为急性结石性胆囊炎，并进行了急诊经皮经肝胆囊引流术（PTGBD）。PTGBD术后11天，我们进行了腹腔镜胆囊切除术。病理检查显示她的胆囊中有来自乳腺癌的转移瘤。尽管她术后恢复顺利，但患者在胆囊切除术后7个月因其他器官转移进展而死亡。对于出现胆囊炎症状的晚期乳腺癌患者，应考虑胆囊转移的可能性。
