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[A case of huge papillary adenocarcinoma of the gallbladder with marked necrosis].
[carcinoma of the gallbladder]
A
71
-
year
-old
woman
was
admitted
to
our
hospital
for
evaluation
of
a
right
upper
abdominal
tumor
.
A
contrast-
CT
scan
demonstrated
a
huge
tumor
extending
from
the
hepatic
hilum
to
the
pelvic
space
.
The
rim
of
tumor
was
enhanced
.
The
center
of
the
tumor
was
not
enhanced
and
thus
considered
to
consist
of
mucus
or
necrotic
tissues
.
Preoperative
diagnosis
as
gallbladder
carcinoma
without
infiltrating
to
peripheral
organ
was
made
and
subsequent
cholecystectomy
with
full-thickness
dissection
has
been
performed
.
The
tumor
itself
was
in
a
swollen
gallbladder
,
18
cm
in
diameter
,
consisting
of
necrotic
tissues
in
the
lumen
.
Pathologic
diagnosis
was
papillary
adenocarcinoma
,
classified
as
pHinf
1
a
,
revealing
fStage
II
.
In
many
cases
with
undifferentiated
carcinoma
of
the
gallbladder
,
the
neoplasms
grow
expansively
to
become
large
tumors
with
marked
necrosis
.
We
report
a
rare
case
of
papillary
adenocarcinoma
of
the
gallbladder
presenting
both
a
clinical
course
and
radiologic
findings
indistinguishable
from
undifferentiated
carcinoma
of
the
gallbladder
.
Diseases
Validation
Diseases presenting
"large tumors"
symptom
carcinoma of the gallbladder
esophageal squamous cell carcinoma
well-differentiated liposarcoma
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