Nagahama M, Muto Y, Yamada M, Shiraishi M, Kusano T, Toda T
Department of Surgery, Ryukyu University School of Medicine, Okinawa, Japan.
Hepatogastroenterology. 1997 May-Jun;44(15):681-4.
A 76-year-old female with villous adenoma of the gallbladder is herein reported. She presented complaining of upper abdominal pain for some months prior to admission. No tumor mass could be detected by transabdominal ultrasonography, but CT scan demonstrated a sessile tumor measuring some 2 cm in diameter. A simple cholecystectomy was thus performed. The resected gallbladder was filled with mucinous material, and showed a sessile tumor with finger-like processes in the fundus. Both the macro- and microscopical findings of the lesion were almost identical to a typical villous adenoma of the colon. Little information is available on villous adenoma of the gallbladder, because such cases are extremely rare. In this paper, is described e a rare villous adenoma lesion while paying special attention to the morphological findings.
本文报道了一例76岁患有胆囊绒毛状腺瘤的女性患者。她在入院前数月主诉上腹部疼痛。经腹部超声检查未发现肿瘤肿块，但CT扫描显示一个直径约2厘米的无蒂肿瘤。因此进行了单纯胆囊切除术。切除的胆囊充满黏液性物质，在底部可见一个有指状突起的无蒂肿瘤。该病变的大体和显微镜下表现与典型的结肠绒毛状腺瘤几乎相同。关于胆囊绒毛状腺瘤的信息很少，因为此类病例极为罕见。本文描述了一种罕见的胆囊绒毛状腺瘤病变，并特别关注其形态学表现。
