IP Archives of Cytology and Histopathology Research
Official Publication of Khyati Education and Research Foundation
Official Publication of Khyati Education and Research Foundation
Print ISSN: 2581-5725
Online ISSN: 2456-9267
CODEN : IACHCL
IP Archives of Cytology and Histopathology Research (ACHR) open access, peer-reviewed quarterly journal publishing since 2016 and is published under the Khyati Education and Research Foundation (KERF), is registered as a non-profit society (under the society registration act, 1860), Government of India with the vision of various accredited vocational courses in healthcare, education, paramedical, yoga, publication, teaching and research activity, with the aim of faster and better dissemination of knowledge, we will be publishing the article more...Case Report
Author Details :
Volume : 4, Issue : 4, Year : 2019
Article Page : 348-351
https://doi.org/10.18231/j.achr.2019.067
Abstract
Introduction: Metastasis of Gall Bladder Carcinoma (GBC) is very uncommon, aggressive and fatal
cancer. World wide incidence rate reported as <2>
in women than men, older age more affected and coexisting Gall stonesare seen in majority cases. Because
of vague symptoms at early stage tumour will not be encountered, most of the patients present in advanced
stage, soprognosis is poor, hence Metastasis of GBC forms a diagnostic and therapeutic challenge.
Case Report: A 53 years old male, known diabetic past 10 years presented with intermittent vague
symptoms of vomiting, nausea, fever, fatigue, right upper quadrant pain since 3 months. Family history
of Gallstones and cancer was present. On examination 2-3 bilateral cervical swellings present, abdominal
examination reveals liver was palpable 4 cms below the right costal margin.
Relevant investigations done. Complete blood count & Liver function tests were abnormal.
Ultrasonography (USG) of abdomen and pelvis, USG guided FNAC of liver, CT of abdomen
and pelvis, PET scan of abdomen, Histopathological and Immunohistochemistry report of left
supraclavicularlymphnode biopsy were suggestive of metastatic adenocarcinoma of GB origin. After
appropriate staging adjuvant chemotherapy started, after third chemotherapy cycle he died of due to
metastasis of GBC, two months from his initial diagnosis.
Conclusion: In the present study patient was diagnosed in advanced stage, early diagnosis could be missed
due to vague symptoms and as GBC is uncommon entity, So proper evaluation of the patient in early stage
may prolong the survival.
Keywords: Gall Bladder, Carcinoma.
How to cite : Hiremani S G, Gundali S, Patil M, Devamane P, Alalageri R, Metastasis of Gall Bladder carcinoma - A case Report. IP Arch Cytol Histopathol Res 2019;4(4):348-351
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