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胆囊癌肉瘤的外科治疗:一例病例报告及文献综述

Surgical management of gallbladder carcinosarcoma: A case report and review of the Literature.

作者信息

Ayoub Madani, Jabi Rachid, Achraf Mery, Benani Amal, Soumia El Arabi, Imane Kamaoui, Mohamed Bouziane

机构信息

Department of General Surgery, Mohamed VI Oujda University Hospital Center, Morocco.

Department of General Surgery, Mohamed VI Oujda University Hospital Center, Morocco.

出版信息

Int J Surg Case Rep. 2020;75:460-463. doi: 10.1016/j.ijscr.2020.09.114. Epub 2020 Sep 21.

Abstract

INTRODUCTION

Gallbladder Carcinosarcoma is a rare and fatal cancer characterized by the presence of a combination of a cancerous epithelial and mesenchymal components.

PRESENTATION OF CASE

We present the case of a 66 years old patient with a carcinoma gallbladder carcinoma who received a surgical treatment. The histological assessment revealed two histological components consisting of an adenocarcinoma and a spindle cell sarcoma compatible with the carcinosarcoma.

DISCUSSION

This cancer is known to be extremely severe in that less than 100 cases have been documented in international medical review of literature. surgical treatment remains the only cure for gallbladder carcinosarcoma, The prognosis of this disease is extremely poor because it normally presents at advanced stages.

CONCLUSION

We present an extremely rare example of carcinosarcoma, and its attributes might be suggestive of a greater malignant potential. Consequently, the later the diagnosed worse is the prognosis.

摘要

引言

胆囊癌肉瘤是一种罕见的致命癌症,其特征是存在癌性上皮和间充质成分的组合。

病例介绍

我们报告一例66岁胆囊癌患者接受了手术治疗。组织学评估显示有两个组织学成分,即腺癌和与癌肉瘤相符的梭形细胞肉瘤。

讨论

已知这种癌症极其严重,因为在国际医学文献综述中记录的病例不到100例。手术治疗仍然是胆囊癌肉瘤的唯一治愈方法,这种疾病的预后极差,因为它通常在晚期出现。

结论

我们展示了一个极其罕见的癌肉瘤病例,其特征可能提示更大的恶性潜能。因此,诊断越晚,预后越差。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f308/7527620/2d3b84caea7a/gr1.jpg

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