Synchronous gallbladder squamous cell carcinoma and adenocarcinoma, both as primary tumors in one patient. (2018)

• Record Type: Journal Article
• Authors: Vahedi, Amir; Azimpouran, Mahzad; Ghavidel, Ali; Karbasi, Mahsa; Farhadi, Mehrdad
• Is Part Of: International journal of surgery case reports. Volume 45(2018)
• Page Start: 1
• Page End: 3
• Publication Date: 2018
• Subjects: Squamous cell carcinoma -- Adenocarcinoma -- Synchronous -- Gallbladder cancer; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2018.02.039
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: We report a male patient with synchronous gallbladder carcinomas. This rare condition should be considered in the differential diagnosis of cholecystitis. The precise diagnosis of synchronous gallbladder carcinomas by surgeons can lead to proper management and choosing the best surgical strategy. It was very interesting that different type of carcinomas affect the gallbladder simultaneously. Although synchronous gallbladder carcinomas are very rare, presentation can mimic cholecystitis. Abstract: Introduction: Synchronous primary carcinomas of gallbladder are extremely rare. In this paper, we report a case of double primary carcinomas in gallbladder Case report: A 65 year old male was admitted to the hospital for surgical removal of gallbladder, which was diagnosed as cholecystitis in ultrasonography. Macroscopic examination disclosed a single whitish mass in gallbladder neck and another distinct mass in the fundus as wall thickening. Pathologic findings revealed squamous cell carcinoma of the neck and adenocarcinoma in the fundus. Discussion: This study represents an example of misdiagnosis. Being cautious is mandatory in order to manage the patient properly. Conclusion: Synchronous primary carcinomas of gallbladder are rare. However this diagnosis should be taken into account in patients with cholecystitis features in order to seeking for the best surgical approach.