Soukhak Fahim, Shugan Tanapong J, Urayeneza Olivier
Surgery, Ross University School of Medicine, Los Angeles, USA.
Family Medicine, Doctors Medical Center, Modesto, USA.
Cureus. 2023 Jun 28;15(6):e41089. doi: 10.7759/cureus.41089. eCollection 2023 Jun.
The biliary tract's most frequent malignancy is gallbladder cancer (GBC). Due to the growing number of laparoscopic cholecystectomy procedures, the majority of GBC cases in the United States are diagnosed as incidental findings. Roughly 5% of the reported cases of gallbladder adenocarcinomas are of the mucinous type. Mucinous adenocarcinoma tumors contain more than 50% of mucin materials and are clinically characterized by poor prognosis. Initial presentation can mimic acute cholecystitis or cholelithiasis; meanwhile, histological findings post-cholecystectomy are the main diagnostic criteria of mucinous adenocarcinoma of the gallbladder. This case presents a patient who has been diagnosed with cholelithiasis and cholecystitis and subsequently underwent laparoscopic cholecystectomy. Histopathological examination of the gallbladder specimen was consistent with incidental gallbladder adenocarcinoma, the mucinous subtype to be specific.
胆道最常见的恶性肿瘤是胆囊癌（GBC）。由于腹腔镜胆囊切除术的数量不断增加，美国大多数GBC病例是在偶然情况下被诊断出来的。在报告的胆囊腺癌病例中，约5%为黏液型。黏液性腺癌肿瘤含有超过50%的黏液物质，临床特征为预后不良。初始表现可类似于急性胆囊炎或胆石症；同时，胆囊切除术后的组织学检查结果是胆囊黏液性腺癌的主要诊断标准。本病例介绍了一名被诊断为胆石症和胆囊炎并随后接受腹腔镜胆囊切除术的患者。胆囊标本的组织病理学检查结果与偶然发现的胆囊腺癌一致，具体为黏液性亚型。
