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

研究成果: Article査読

2 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)484-487
ページ数4
ジャーナルJapanese journal of clinical oncology
26
6
DOI
出版ステータスPublished - 1996 12月
外部発表はい

ASJC Scopus subject areas

  • 腫瘍学
  • 放射線学、核医学およびイメージング
  • 癌研究

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