Ido Kenta, Shibasaki Mitsuhiko, Tateyama Yumeo, Abe Takahiro, Takizawa Daichi, Arai Hirotaka, Shimoda Yuki, Furuya Mio, Ide Munenori, Uraoka Toshio
Department of Gastroenterology and Hepatology, Japanese Red Cross Maebashi Hospital.
Department of Pathology Diagnosis, Japanese Red Cross Maebashi Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2025;122(7):512-519. doi: 10.11405/nisshoshi.122.512.
A 71-year-old male patient with multiple liver and lymph node metastases of gallbladder cancer was diagnosed with gallbladder neuroendocrine carcinoma based on liver tumor biopsy. He received chemotherapy with attention to the medical history of interstitial pneumonia and achieved a partial response. The patient died of acute exacerbation of interstitial pneumonia 12 months after diagnosis. A pathological autopsy was performed which confirmed the diagnosis of primary neuroendocrine carcinoma of the gallbladder. The autopsy revealed no adenocarcinoma component, indicating the possibility of transformation from adenocarcinoma to neuroendocrine carcinoma or that the carcinoma originated from a small number of neuroendocrine cells that were originally present in the gallbladder. Gallbladder neuroendocrine carcinoma is very rare, and this case is valuable in that it was diagnosed medically and connected to treatment, and the diagnosis was corroborated with a general autopsy.
一名71岁男性胆囊癌伴多发肝及淋巴结转移患者,经肝脏肿瘤活检确诊为胆囊神经内分泌癌。他在化疗过程中考虑到间质性肺炎病史,化疗后获得部分缓解。患者在诊断后12个月死于间质性肺炎急性加重。进行了病理尸检,证实为原发性胆囊神经内分泌癌。尸检未发现腺癌成分,提示可能是从腺癌转变为神经内分泌癌,或者该癌起源于胆囊中原本存在的少量神经内分泌细胞。胆囊神经内分泌癌非常罕见,该病例的价值在于通过医学诊断并与治疗相关联,且通过全身尸检证实了诊断。