10.3978/j.issn.2304-3881.2012.07.01
Gallbladder carcinoma post gallbladder-preserving cholecystolithotomy: a case report
A 76-year-old male with a ten-year history of cholelithiasis with intermittent right upper quadrant pain presented at clinic in March, 2010. Cholecystolithotomy via choledochoscopy was performed 5 years ago, 4 months after which, recurrence of the stones was confirmed. The irregularly episodic pain with distention developed 2 years ago. Levels of carcinoembryonic antigen (CEA 61.22 ng/mL) and carbohydrate antigen 125 (CA125162.9 U/mL) were increased, whereas alfa-fetal protein (AFP) and carbohydrate antigen 19-9 (CA19-9) were normal. Ultrasound examination found an irregular and ill-demarcated hypoechoic lesion (6.2 cm × 3.4 cm) and multiple hyperechoic spots with acoustic shadow within the gallbladder. Contrast-enhanced computed tomography (CECT) detected a low-density mass embedded within the enlarged and distorted gallbladder with irregular enhancement and adjacent liver involvement (Figure 1). In the laparotomy, a firm whitish lesion about 2 cm × 3 cm was found at the fundus of the gallbladder, which was imbedded in the previous incision of the gallbladder. Malignancy was confirmed by frozen section, and a radical resection for gallbladder carcinoma with quadrate lobectomy was performed.
1
National Natural Science Foundation of China 30901453supporting in the writing of the report
2019-07-16（万方平台首次上网日期，不代表论文的发表时间）
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61-63
