Adenosquamous Carcinoma of Gallbladder with Unusual Prognosis: A Case Report

Authors

  • Siddinath Gyawali Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal
  • Biraj Pokhrel Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal
  • Deepak Sharma Department of Surgical Gastroenterology, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
  • Naveen Chandra Bhatta Department of Surgical Gastroenterology, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
  • Bishnu Prasad Kandel Department of Surgical Gastroenterology, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
  • Paleswan Joshi Lakhey Department of Surgical Gastroenterology, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal

DOI:

https://doi.org/10.31729/jnma.7923

Keywords:

carcinoma; case reports; cholecystectomy; prognosis.

Abstract

The adenosquamous carcinoma of the gallbladder is a rare variant accounting for only 1-4% of all primary gallbladder carcinoma. Regardless of the histological types, all gallbladder carcinomas have silent and rapid progression resulting in delayed diagnosis and poor prognosis. Even with medical and/or surgical interventions, the median survival of patients with adenosquamous carcinoma, one of the histological variants, is less than a year. However, we present a case of adenosquamous carcinoma with an unusually better prognosis. A 70-year-old female patient, after being diagnosed with gallbladder carcinoma was suggested for surgical resection but was lost to follow-up since then. Two years later, the patient presented and was managed with extended cholecystectomy. The slow progression and non-recurrence of the tumour during follow-up for two years after the surgery indicates a better prognosis in this case.

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Published

2023-01-01

How to Cite

Gyawali, S. ., Pokhrel, B. ., Sharma, D. ., Bhatta, N. C. ., Kandel, B. P. ., & Lakhey, P. J. . (2023). Adenosquamous Carcinoma of Gallbladder with Unusual Prognosis: A Case Report. Journal of Nepal Medical Association, 61(257), 76–79. https://doi.org/10.31729/jnma.7923

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