Successful radical surgery for an undifferentiated gallbladder carcinoma with lymph node metastases to the mesocolon

Tetsuya Ota, Tadatoshi Takayama, Yoshihiro Moriya, Keiji Sano, Junji Yamamoto, Kazuaki Shimada, Tomoo Kosuge, Susumu Yamasaki, Michiie Sakamoto, Masatoshi Makuuchi

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2 Citations (Scopus)

Abstract

We report successful radical systematic surgery for an undifferentiated gallbladder carcinoma with metastasis to the mesocolonic lymph nodes. The patient, a 70-year-old woman, was admitted with abdominal fullness and appetite loss. Imaging modalities revealed a 10-cm tumor originating from the gallbladder and infiltrating both the liver and transverse colon. As multiple mesocolonic lymph node metastasis was confirmed on laparotomy, right hemicolectomy with systematic lymph node dissection (D3 resection) was performed, in addition to extended cholecystectomy with partial resection of segments 4, 5 and 6 of the liver and distal gastrectomy. Histologically, the tumor was diagnosed as an undifferentiated carcinoma, and metastases were indentified in the mesocolonic lymph nodes (17/50 nodes) but not in the peri-gallbladder lymph nodes (0/16 nodes). The patient has been recurrence-free for 4 years after the operation. This case illustrates that even if gallbladder cancer infiltrates into adjacent organs with regional lymph node metastasis, it is of value to perform radical surgery with systematic lymph node dissection for the involved organs.

Original languageEnglish
Pages (from-to)484-487
Number of pages4
JournalJapanese journal of clinical oncology
Volume26
Issue number6
DOIs
Publication statusPublished - 1996 Dec

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Keywords

  • Gallbladder carcinoma
  • Intestinal involvement
  • Undifferentiated carcinoma

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Cancer Research

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