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Gallbladder carcinoid masquerading as gallbladder carcinoma |
Mallika Tewari, Vinay Kumar, Raghvendra Raman Mishra and Hari S Shukla |
Varanasi, India
Author Affiliations: Department of Surgical Oncology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, UP 221005, India (Tewari M, Kumar V Mishra RR and Shukla HS)
Corresponding Author: Hari S Shukla, MS, FRCSEd, PhD, 7 SKG Colony, Lanka, Varanasi-221005, U.P., India (Tel: +91 9415 224400; Fax: +91 542 2368856; Email: harishukla@usa.net) |
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Abstract BACKGROUND: Carcinoid of the gallbladder is rare. Since it often presents as a gallbladder mass it may be confused with gallbladder carcinoma.
METHODS: A 35-year-old lady presented with pain in the right upper abdomen, and was radiologically found to have a gallbladder mass. A provisional diagnosis of gallbladder carcinoma was made. Laparotomy revealed a 20×20 cm, exophytic, friable growth arising from the fundus of the gallbladder. It was excised with segment IVb and V of the liver and regional lymphadenectomy.
RESULT: Histopathological examination revealed it was a neuroendocrine carcinoma, atypical carcinoid of the gallbladder.
CONCLUSION: Gallbladder carcinoid has a poor outcome, requires aggressive treatment, and should be considered as one of the rare but possible gallbladder lesions.
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