Gallbladder carcinoma

Case contributed by Dr Safwat Mohammad Almoghazy

Presentation

Known case of Hodgkin lymphoma, post treatment and on follow-up. PET scan showed activity in a cervical lymph node, gallbladder fundus, and left para-aortic lymph node.

Patient Data

Age: 57 years
Gender: Female
CT

CT Abdomen and Pelvis

Enhanced soft tissue mass in the fundus of the gallbladder. 

Prominent para-aortic lymph node compared to previous scan, the largest one at the coeliac trunk. 

Ultrasound

Gallbladder ultrasound

Gallbladder: Shows an isoechoic soft tissue mass at its posterior wall,  inseparable from and has the same echo-pattern of liver
parenchyma. No evidence of biliary mud or gall stones. Normal calibre of common bile duct.

Case Discussion

This patient has a known Hodgkin disease stage IIIb under follow up and PET scan showed uptake in the fundus of the gallbladder, confirmed by US and CT to correspond to a mass like lesion. Cholecystectomy and histopathology revealed as adenocarcinoma of gallbladder.  

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Case information

rID: 54037
Case created: 20th Jun 2017
Last edited: 21st Jun 2017
Inclusion in quiz mode: Included

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