Primäres Plattenepithelkarzinom der Gallenblase als seltene Ursache für eine akute Cholezystitis = Acute squamous cell carcinoma of the gallbladder - a rare cause of acute cholecystitis
History and admission findings: A 54-year-old woman with signs of acute cholecystitis but no other relevant diseases was admitted into our hospital. Investigations: The abdominal ultrasonography showed an acute cholecystitis with possibly an abscess in the bed of the gallbladder (DD gall bladder can...
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| Main Authors: | , , |
|---|---|
| Format: | Article (Journal) |
| Language: | German |
| Published: |
28. Juni 2011
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| In: |
Deutsche medizinische Wochenschrift
Year: 2011, Volume: 136, Issue: 27, Pages: 1422-1425 |
| ISSN: | 1439-4413 |
| DOI: | 10.1055/s-0031-1281531 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1055/s-0031-1281531 Verlag, lizenzpflichtig, Volltext: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0031-1281531 |
| Author Notes: | U. Damian, B. Rumstadt, D. Schilling |
MARC
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| 245 | 1 | 0 | |a Primäres Plattenepithelkarzinom der Gallenblase als seltene Ursache für eine akute Cholezystitis |b = Acute squamous cell carcinoma of the gallbladder - a rare cause of acute cholecystitis |c U. Damian, B. Rumstadt, D. Schilling |
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| 520 | |a History and admission findings: A 54-year-old woman with signs of acute cholecystitis but no other relevant diseases was admitted into our hospital. Investigations: The abdominal ultrasonography showed an acute cholecystitis with possibly an abscess in the bed of the gallbladder (DD gall bladder cancer). Therefore a laparoscopy was performed which revealed a tumorous infiltrating the adjacent organs. A R1 resection was performed. Diagnosis, treatment and course: The histological examination revealed the rare finding of a squamous cell cancer of the gall bladder. On advice of our tumor board, chemotherapy with cisplatin and 5-flourouracil was initiated. Tumor-associated bile duct stenosis required endoscopic stent implantation. Despite the poor prognosis the disease remained stable 18 month later, with a Karnofsky index of 100%.Conclusion: Squamous cell carcinoma of the gallbladder is rare and requires a good interdisciplinary management. In an individual setting it is possible to increase survival with interdisciplinary treatment and palliative chemotherapy. | ||
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