2022
DOI: 10.1186/s40792-022-01388-8
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Intracholecystic papillary neoplasm associated with invasive carcinoma of the remnant gallbladder after subtotal cholecystectomy: a case report

Abstract: Background Intracholecystic papillary neoplasm (ICPN) of the gallbladder is a rare tumor and a relatively new concept. Therefore, the natural history and imaging characteristics of ICPN have not yet been fully documented. Moreover, cases who underwent curative resection for remnant gallbladder cancer, including ICPN with associated invasive carcinoma, have been rarely reported. We report a resected case of ICPN of the remnant gallbladder with associated invasive carcinoma for which we could obs… Show more

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Cited by 6 publications
(5 citation statements)
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“…Usually, this type of tumour is slow growing, however with invasiveness, rapid growth can occur, with the rarity of these tumours, no definite goldstandard management has been described, and the prognosis of these patients finally depends on the histological clearance and staging. 7 Adenocarcinoma of gall bladder limited intra-cystically usually treated with simple cholecystectomy and rest T stages treated with extended cholecystectomies, whether a simple cholecystectomy would suffice or an extended cholecystectomy would be required, pre-surgery, this doubt will be there without final histopathology report, as in our case, laparoscopic extended cholecystectomy was done since an initial imaging report suggested malignancy, it was better to proceed with caution and an extended cholecystectomy was chosen to proceed. 8…”
Section: Discussionmentioning
confidence: 78%
“…Usually, this type of tumour is slow growing, however with invasiveness, rapid growth can occur, with the rarity of these tumours, no definite goldstandard management has been described, and the prognosis of these patients finally depends on the histological clearance and staging. 7 Adenocarcinoma of gall bladder limited intra-cystically usually treated with simple cholecystectomy and rest T stages treated with extended cholecystectomies, whether a simple cholecystectomy would suffice or an extended cholecystectomy would be required, pre-surgery, this doubt will be there without final histopathology report, as in our case, laparoscopic extended cholecystectomy was done since an initial imaging report suggested malignancy, it was better to proceed with caution and an extended cholecystectomy was chosen to proceed. 8…”
Section: Discussionmentioning
confidence: 78%
“…The incidence of gallbladder cancer in the gallbladder remnant following a subtotal cholecystectomy is rare with just a few case reports. 18,41 Patients with gallbladder cancer presenting with acute cholecystitis present a diagnostic challenge with many cases diagnosed incidentally on histological analysis. Although no patients in our series had gallbladder cancers, the presence of gallbladder cancer in subtotal cholecystectomy specimens is a concern.…”
Section: Discussionmentioning
confidence: 99%
“…The follow‐up period in this study was too short to identify patients with recurrent symptoms. The incidence of gallbladder cancer in the gallbladder remnant following a subtotal cholecystectomy is rare with just a few case reports 18,41 …”
Section: Discussionmentioning
confidence: 99%
“…As a result, the gallbladder should always be dissected in order to better inspect and extract all present stones. Additionally, the remaining gallbladder stump should be left as small as possible considering the risk of symptoms due to remnant gallbladder as these seem to be related to the size of the stump (40).…”
Section: Discussionmentioning
confidence: 99%
“…Results evidenced symptom relief in 13 out of 14 patients, morbidity was of 1 surgical wound infection and 1 bile duct injury (39). In another case series which included 11 patients taken to a second complete cholecystectomy, all cases had a gallbladder remnant of over 2.5 cm, which is considerably larger than recommended (<1 cm) (40).…”
Section: Retained Gallstones In the Remnant Gallbladdermentioning
confidence: 92%