Iwasa Yuhei, Iwata Keisuke, Okuno Mitsuru, Sugiyama Akihiko, Nishigaki Yoichi, Ohashi Yosuke, Tanaka Takuji, Iwashita Takuji, Shimizu Masahito, Tomita Eiichi
Department of Gastroenterology, Gifu Municipal Hospital, 7-1 Kashima-cho, Gifu 500-8513, Japan.
Department of Diagnostic Pathology, Gifu Municipal Hospital, 7-1 Kashima-cho, Gifu 500-8513, Japan.
Diagnostics (Basel). 2022 Nov 7;12(11):2721. doi: 10.3390/diagnostics12112721.
Adenomyomatosis (ADM) of the gallbladder is a condition characterized by the proliferation of Rokitansky-Aschoff sinus (RAS), in which the epithelium of the gallbladder extends into the muscular layer, causing a thickening of the gallbladder wall. Although ADM is generally considered not to be a precancerous lesion of gallbladder cancer, there are some reports of cases of gallbladder cancer from ADM. Therefore, the relationship between ADM and gallbladder cancer remains controversial. We herein report a case of early-stage gallbladder cancer, BilIN3 (high grade), arising from ADM that was positive for ALDH1A1, an important marker of stem cells and cancer stem cells.
胆囊腺肌增生症(ADM)是一种以罗-阿窦(RAS)增生为特征的疾病,其中胆囊上皮延伸至肌层,导致胆囊壁增厚。尽管ADM一般不被认为是胆囊癌的癌前病变,但有一些关于ADM发展为胆囊癌的病例报告。因此,ADM与胆囊癌之间的关系仍存在争议。我们在此报告一例源于ADM的早期胆囊癌,BilIN3(高级别),该病例中醛脱氢酶1A1(ALDH1A1)呈阳性,ALDH1A1是干细胞和癌症干细胞的重要标志物。