Publication: Adenosquamous Carcinoma of Gallbladder with Unusual Prognosis: A Case Report
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
The adenosquamous carcinoma of the gallbladder is a rare variant accounting for only 1-4% of all primary gallbladder carcinoma. Regardless of the histological types, all gallbladder carcinomas have silent and rapid progression resulting in delayed diagnosis and poor prognosis. Even with medical and/or surgical interventions, the median survival of patients with adenosquamous carcinoma, one of the histological variants, is less than a year. However, we present a case of adenosquamous carcinoma with an unusually better prognosis. A 70-year-old female patient, after being diagnosed with gallbladder carcinoma was suggested for surgical resection but was lost to follow-up since then. Two years later, the patient presented and was managed with extended cholecystectomy. The slow progression and non-recurrence of the tumour during follow-up for two years after the surgery indicates a better prognosis in this case.
Description
Siddinath Gyawali
Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal
Biraj Pokhrel
Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal
Deepak Sharma
Department of Surgical Gastroenterology, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
Naveen Chandra Bhatta
Department of Surgical Gastroenterology, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
Bishnu Prasad Kandel
Department of Surgical Gastroenterology, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
Paleswan Joshi Lakhey
Department of Surgical Gastroenterology, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
Keywords
Carcinoma, Case reports, Cholecystectomy, Prognosis