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A Case of Large Cell Neuroendocrine Carcinoma of the Gallbladder / 대한내과학회지
Korean Journal of Medicine ; : 183-187, 2013.
Article in English | WPRIM | ID: wpr-70556
ABSTRACT
We herein report a case of large cell neuroendocrine carcinoma (NEC) of the gallbladder confirmed by laparoscopic surgery. A 60-year-old male was HBsAg-positive. Abdominal computed tomography showed a 2.5 x 2.5 cm enhancing polypoid mass in the gallbladder and multiple masses in liver segments 4 and 5 that enhanced in the arterial phase and washed out in the delayed phase. Liver biopsy findings showed only poorly differentiated morphology. A laparoscopic operation was performed for diagnosis of the masses because curative resection seemed impossible to perform, which showed unusual findings of either hepatocelluar carcinoma or gallbladder cancer. Therefore, laparoscopic liver biopsy and cholecystectomy were performed. The final pathologic results of the masses showed large cell NEC of the gallbladder with liver metastasis. Central bisegmentectomy and extensive lymph node dissection were ultimately performed. The patient was still alive 16 months after diagnosis.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Biopsy / Cholecystectomy / Laparoscopy / Carcinoma, Neuroendocrine / Gallbladder / Gallbladder Neoplasms / Liver / Lymph Node Excision / Neoplasm Metastasis Limits: Humans / Male Language: English Journal: Korean Journal of Medicine Year: 2013 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Biopsy / Cholecystectomy / Laparoscopy / Carcinoma, Neuroendocrine / Gallbladder / Gallbladder Neoplasms / Liver / Lymph Node Excision / Neoplasm Metastasis Limits: Humans / Male Language: English Journal: Korean Journal of Medicine Year: 2013 Type: Article