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Radical surgery for advanced pure squamous cell carcinoma of the gallbladder: report of a case.
[carcinoma of the gallbladder]
Squamous
cell
carcinoma
(
SCC
)
of
the
gallbladder
is
frequently
detected
at
an
advanced
stage
because
of
its
tendency
to
infiltrate
adjacent
organs
.
In
addition
,
more
rapid
growth
of
this
type
of
carcinoma
compared
to
that
of
adenocarcinoma
,
the
most
frequent
subtype
of
gallbladder
carcinoma
,
has
been
reported
.
Although
it
is
not
rare
to
find
squamous
cell
carcinoma
components
in
cases
other
than
the
usual
adenocarcinoma
of
the
gallbladder
,
these
cases
must
be
distinguished
from
those
of
pure
squamous
cell
carcinoma
,
as
diagnosed
in
the
present
case
.
Pure
squamous
cell
carcinoma
is
characterized
by
a
well-
localized
growth
,
no
visceral
metastasis
,
and
a
rarity
or
lack
of
lymph
node
metastasis
,
even
when
the
tumor
has
grown
to
a
large
size
locally
.
Prognosis
of
SCC
of
the
gallbladder
has
generally
been
considered
poor
.
Nevertheless
,
long
-term
survival
after
curative
resection
in
patients
with
SCC
of
the
gallbladder
has
been
sporadically
reported
.
We
performed
extended
right
hemihepatectomy
with
portal
vein
resection
after
portal
vein
embolization
for
a
55
-
year
-old
woman
with
advanced
SCC
of
the
gallbladder
.
The
patient
has
not
developed
any
signs
of
recurrence
40
months
after
the
surgery
.
Although
such
radical
surgery
remains
challenging
,
it
may
lead
to
a
favorable
outcome
in
selected
patients
with
advanced
SCC
of
the
gallbladder
.
Diseases
Validation
Diseases presenting
"as diagnosed in the present case"
symptom
carcinoma of the gallbladder
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