Ishaya Michelle M, Litvin Rafaella, Ojemolon Pius E
Internal Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, USA.
Cureus. 2023 Apr 23;15(4):e38025. doi: 10.7759/cureus.38025. eCollection 2023 Apr.
Adenosquamous carcinoma (ASC) of the gallbladder is an incredibly rare malignancy. It is much less common than adenocarcinoma of the gallbladder and also has a much poorer prognosis. The case presented here is that of a patient diagnosed with ASC of the gallbladder after undergoing cholecystectomy for symptomatic cholelithiasis. Her disease progressed despite four cycles of chemotherapy. Her course was complicated by recurrent obstructive jaundice requiring biliary duct stent placement and percutaneous biliary drain placement over several admissions. She was discharged home with hospice service seven months after diagnosis, where she died a few weeks later. Knowledge pertaining to gallbladder ASC is limited, as prevalence is low and information is mostly derived from case reports such as this.
胆囊腺鳞癌(ASC)是一种极其罕见的恶性肿瘤。它比胆囊腺癌少见得多,预后也差得多。本文介绍的病例是一名患者,因有症状的胆结石接受胆囊切除术后被诊断为胆囊ASC。尽管进行了四个周期的化疗,她的病情仍进展。她的病程因反复出现梗阻性黄疸而复杂化,需要在多次住院期间放置胆管支架和经皮胆道引流管。诊断七个月后,她在临终关怀服务下出院回家,几周后去世。关于胆囊ASC的知识有限,因为其发病率低,信息大多来自这样的病例报告。