A patient with early gallbladder cancer derived from a Rokitanski-Aschoff sinus.

Abstract:

:We present herein a case of a 40-year-old male with early gallbladder cancer derived from a Rokitanski-Aschoff sinus (RAS). The patient originally presented at our hospital with epigastric discomfort, following which a diagnosis of adenomyomatosis (ADM) of the gallbladder was made, and a cholecystectomy performed. Histopathological examination of the resected specimen revealed a 7-mm well-differentiated papillo-tubular adenocarcinoma in the RAS epithelium in the body of the gallbladder. The RAS extended to the "pm" layer but the adenocarcinoma was an in situ lesion localized within the RAS epithelium. Considering the difficulties in making an early diagnosis of gallbladder cancer, active surgery should be performed for patients in whom ADM is seen in the gallbladder.

journal_name

Surg Today

journal_title

Surgery today

authors

Funabiki T,Matsumoto S,Tsukada N,Kimura T,Yoshizaki S,Horibe Y

doi

10.1007/BF00309054

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

350-5

issue

4

eissn

0941-1291

issn

1436-2813

journal_volume

23

pub_type

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