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Gallbladder carcinoma with a large monolocular cystic cancerous component.
[carcinoma of the gallbladder]
The
monolocular
cystic
formation
associated
with
gallbladder
carcinoma
is
an
extremely
rare
condition
.
A
79
-
year
-old
female
suffering
from
upper
abdominal
pain
and
distention
was
admitted
to
our
hospital
.
Ultrasonography
and
computed
tomography
revealed
a
monolocular
cyst
with
an
irregular
wall
thickness
of
15
cm
in
diameter
concomitant
with
a
solid
mass
of
8
cm
in
diameter
around
the
gallbladder
bed
.
During
celiotomy
,
the
tumor
was
found
to
have
a
large
pale
gray
cystic
component
at
the
fundus
of
the
gallbladder
,
and
disseminated
nodules
were
observed
in
the
peritoneum
.
We
diagnosed
the
patient
with
gallbladder
carcinoma
and
performed
a
simple
cholecystectomy
that
included
the
tumor
without
systematic
lymphadenectomy
.
On
the
cut
face
of
the
gallbladder
,
the
lumen
was
occupied
by
a
solid
neoplasm
.
The
cyst
included
a
large
amount
of
serous
fluid
and
protruded
continuously
from
the
body
of
the
gallbladder
,
but
it
did
not
communicate
with
the
gallbladder
lumen
.
Although
the
mechanism
responsible
for
the
development
of
cyst-forming
papillary
carcinoma
of
the
gallbladder
remains
unknown
,
the
present
case
is
crucial
for
understanding
the
mechanism
of
cystogenesis
in
gallbladder
carcinoma
.
Diseases
Validation
Diseases presenting
"gallbladder carcinoma is an extremely rare condition"
symptom
carcinoma of the gallbladder
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