Ultrasound patterns of metastatic tumors in the gallbladder

Phillips, Gail; Pochaczevsky, Rubem; Goodman, Joan D.; Kumari, S. Sindhu

doi:10.1002/jcu.1870100806

Cited by 27 publications

(10 citation statements)

References 13 publications

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“…Metastases in the gallbladder are occasionally seen as tumourous structures without shadowing or associated stones (7,21). In the present investigation, no differential difficulties were experienced in these conditions.…”

Section: Resultsmentioning

confidence: 41%

Ultrasonography in Carcinoma of the Gallbladder

Soiva¹,

Aro²,

Pamilo³

et al. 1987

Acta Radiol

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Cholecystosonography in approximately 40000 patients over five years in two university hospitals revealed 30 (75%) of the 40 macroscopic primary carcinomas. In 3 cases the carcinoma was obscured by gallstones with shadowing, in 3 cases the origin of a tumour mass was misinterpreted, and in 4 cases the neoplastic growth mimicked gallbladder inflammatory changes or sludge. Malignancy was incorrectly diagnosed or suggested in 25 patients. The most frequent cause of a false positive report was acute or chronic inflammation, found at surgery in 16 gallbladders. Four carcinomas of the pancreatic head were believed to be gallbladder tumours. Cirrhosis with marked gallbladder wall thickening, gastric carcinomas with metastases, a common duct carcinoma, and two cases of sludge (with normal control studies) caused a false suggestion of gallbladder carcinoma. The most frequent ultrasonographic finding in gallbladder carcinomas was a mass filling the gallbladder (15 diagnosed cases), followed by wall thickening (9 cases), and polypoid or fungating tumour (6 cases). Real-time ultrasonography is a useful method for the preoperative diagnosis of gallbladder carcinoma, but considerable diagnostic problems in the differentiation from inflammatory diseases may be encountered.

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Section: Resultsmentioning

confidence: 41%

Ultrasonography in Carcinoma of the Gallbladder

Soiva¹,

Aro²,

Pamilo³

et al. 1987

Acta Radiol

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“…1 There have been a few clinical reports of cases with metastatic tumor of the gallbladder detected when the patient is alive. Phillips et al 15 reported ultrasound fi ndings of 11 cases of metastatic tumor of the gallbladder. The primary cancers in that study were pancreatic cancer in 7 patients, and HCC, colon cancer, ovarian cancer, and renal cell carcinoma in 1 patient each.…”

Section: Discussionmentioning

confidence: 99%

Surgical resection for hepatocellular carcinoma with metastasis to the gallbladder: Report of a case

et al. 2011

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A metastatic tumor of the gallbladder is rare. There have so far been no detailed reports of a resection of the metastasis of hepatocellular carcinoma (HCC) to the gallbladder published in the English literature. This report presents the case of a surgical resection for hepatocellular carcinoma with metastasis to the gallbladder. A 48-year-old woman consulted her primary care physician due to chest discomfort. Tumors in the liver and gallbladder were unexpectedly found and she was thus referred to this hospital. The radiologic studies showed two tumors. A round-shaped tumor, 30 mm in diameter, in the fossa of the gallbladder of the liver protruded into the lumen of the gallbladder, and a lobulated shaped tumor, measuring 13 mm, was in S5 of the liver. Angiography demonstrated that these tumors showed a pattern of early enhancement and washout. An en bloc resection of the gallbladder and the liver surrounding the gallbladder was performed, and the final diagnosis was moderately differentiated HCC in segment S5 with gallbladder metastasis. The patient is currently doing well 2 years after surgery, without any signs of recurrence. This case demonstrated that good clinical outcome could be achieved by performing surgery in HCC patients with metastasis to the gallbladder.

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“…Most gallbladder metastases are detected metachronously; in one case reported by Aoki et al [3] a gallbladder metastasis appeared 27 years after nephrectomy for renal cell carcinoma. Ultrasound patterns of metastatic tumors in the gallbladder are well described [13,14]. Mostly gallbladder metastases are large hyperechoic broad-based lesions, greater than 1 cm in diameter [14].…”

Section: Discussionmentioning

confidence: 99%

Gallbladder Metastasis of Non-Small Cell Lung Cancer

Naßenstein

Kissler²

2004

Oncol Res Treat

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Background: Although non-small cell lung cancer is known for its potency to spread to almost any organ of the body, metastasis to the gallbladder with significant clinical manifestation is rarely reported in the literature. Case report: We report the case of a 45-year-old man with non-small cell lung cancer (NSCLC), who developed symptoms of acute cholecystitis caused by a metastasis of the gallbladder wall. Histological examination showed tumor cell invasion in regional gallbladder lymph nodes. A second primary tumor of the gallbladder was excluded by immunohistochemical methods. Conclusion: Our experience showed that acute cholecystitis can occur in association with metastases of lung cancer to the gallbladder.

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Ultrasound patterns of metastatic tumors in the gallbladder

Cited by 27 publications

References 13 publications

Ultrasonography in Carcinoma of the Gallbladder

Ultrasonography in Carcinoma of the Gallbladder

Surgical resection for hepatocellular carcinoma with metastasis to the gallbladder: Report of a case

Gallbladder Metastasis of Non-Small Cell Lung Cancer

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