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Year : 2014  |  Volume : 10  |  Issue : 2  |  Page : 397-398

Unusual presentation of metastatic gall bladder cancer

1 Department of Radiation Oncology, Institute Rotary Cancer Hospital, AIIMS, New Delhi, India
2 Department of Radiation Oncology, MIMS, Rewari, Haryana, India

Correspondence Address:
Piyush Shukla
Hostel No. 7, Room No. 10, Ansari Nagar, AIIMS, New Delhi - 110 029
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Source of Support: None, Conflict of Interest: All authors have completed the Unified Competing Interest form (available on request from corresponding author).

DOI: 10.4103/0973-1482.136669

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To report the first case of rare isolated breast metastasis from carcinoma gall bladder. Single patient case report. A 35-year-old pre-menopausal female presented with 2 * 2 cm right upper outer quadrant breast lump. Post-mastectomy, histology confirmed it to be metastatic adenocarcinoma positive for both Cytokeratin (CK) 7 and CK20. Past history as told by the patient revealed that 2 years back, cholecystectomy was performed for gall stones, of which no histology reports were present; she had a port site scar recurrence which showed it to be adenocarcinoma. Adjuvant chemotherapy and radiotherapy was advised which the patient did not complete. This is probably the first case reported of isolated breast metastasis from gall bladder carcinoma, diagnosed retrospectively. It also highlights the importance of adjuvant treatment in gall bladder malignancy.

Abstract in Chinese

转移性胆囊癌不寻常的表现 摘要 本文报道第一例罕见的孤立的胆囊癌乳腺转移。患者为35岁的女性,未绝经,肿块位于乳腺右外上象限大小为2cm×2cm。病理诊断为转移性腺癌,细胞角蛋白(CK)7和 CK20均阳性。病人自述两年前因胆囊结石行胆囊切除术,没有病理报告;她的左侧瘢痕复发,为腺癌。当时未行辅助化疗和放疗。回顾性诊断分析,这可能是第一例报告的孤立的胆囊癌乳腺转移。说明辅助治疗对于胆囊恶性肿瘤治疗的重要性。 关键词:腺癌,辅助治疗,胆囊切除术,胆囊癌,转移

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