Khurram Ruhaid, Khamar Rahul, Lunat Raees, Novelli Daniel, Ozretić Luka, Chaudhary Khurram
Royal Free Hospital, Royal Free London NHS Foundation Trust, Pond St, Hampstead, London NW3 2QG, UK.
Radiol Case Rep. 2020 Nov 12;16(1):152-156. doi: 10.1016/j.radcr.2020.10.058. eCollection 2021 Jan.
Carcinosarcomas of the gallbladder are extremely rare tumors and infrequently reported in the literature. We demonstrate a case of a 64-year-old female who presented with a 2-month history of a right upper quadrant mass, intermittent fevers, and abdominal distension following recent travel to Ghana. A computed tomography (CT) scan of the abdomen and pelvis demonstrated a large hepatic lesion with co-existing gallbladder distension, suggestive of a hepatic abscess. The patient was initially managed with intravenous antibiotics but failed to respond to treatment. A subsequent magnetic resonance imaging (MRI) scan of the liver showed a locally invasive lobulated soft tissue lesion arising from the gallbladder fundus and extending into the liver parenchyma. The lesion was surgically excised with a central hepatectomy. Histopathologic analysis showed a carcinosarcoma of the gallbladder.
胆囊癌肉瘤是极其罕见的肿瘤，文献中鲜有报道。我们报告一例64岁女性病例，该患者在近期前往加纳旅行后出现右上腹肿块、间歇性发热和腹胀2个月。腹部和盆腔计算机断层扫描（CT）显示肝脏有一个大的病变，同时伴有胆囊扩张，提示肝脓肿。患者最初接受静脉抗生素治疗，但治疗无效。随后肝脏的磁共振成像（MRI）扫描显示，一个局部浸润的分叶状软组织病变起源于胆囊底部并延伸至肝实质。该病变通过中央肝切除术进行了手术切除。组织病理学分析显示为胆囊癌肉瘤。
