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[Acute squamous cell carcinoma of the gallbladder: a rare cause of acute cholecystitis].
[carcinoma of the gallbladder]
A
54
-
year
-old
woman
with
signs
of
acute
cholecystitis
but
no
other
relevant
diseases
was
admitted
into
our
hospital
.
The
abdominal
ultrasonography
showed
an
acute
cholecystitis
with
possibly
an
abscess
in
the
bed
of
the
gallbladder
(
DD
gall
bladder
cancer
)
.
Therefore
a
laparoscopy
was
performed
which
revealed
a
tumorous
infiltrating
the
adjacent
organs
.
A
R
1
resection
was
performed
.
The
histological
examination
revealed
the
rare
finding
of
a
squamous
cell
cancer
of
the
gall
bladder
.
On
advice
of
our
tumor
board
,
chemotherapy
with
cisplatin
and
5
-
flourouracil
was
initiated
.
Tumor
-associated
bile
duct
stenosis
required
endoscopic
stent
implantation
.
Despite
the
poor
prognosis
the
disease
remained
stable
18
month
later
,
with
a
Karnofsky
index
of
100
 
%
.
Squamous
cell
carcinoma
of
the
gallbladder
is
rare
and
requires
a
good
interdisciplinary
management
.
In
an
individual
setting
it
is
possible
to
increase
survival
with
interdisciplinary
treatment
and
palliative
chemotherapy
.
