CARCINOMA GALL BLADDERAN UNUSUAL PRESENTATION (Case Report) Col BM NAGPAL, VSI\I *,Lt Col RK BAJPAI +, Maj KJ SINGH #, Lt Col JS PANAYCH ** Brig KK MAUDAR ++ MJAF11998; 54 : 347-348 KEY WORDS:Squamous cell carcinoma; Leucocytosis; Hypotension; Paraneoplastic syndrome.
Introduction
P
ure squamous cell carcinoma of the gall bladder is a rare tumor which may present diagnostic difficulty for the histopathologist.Even more rarely it may be well localized being usually poorly differentiated and rapidly fatal [I]. We present a case of moderately differentiated squamous cell carcinoma of the gall bladder which also had paraneoplastic syndrome in the form of leucocytosis. The patient also had unexplained hypotension which could possibly be due to Tumour Necrosis Factor (TNF).
transverse colon was found (Fig. 2). There were no lymph nodes and no ascites. Gall bladder lumen was obliterated and there were no stones. A Radical Cholecystectomy with en-block removal of the adherent colonic loop and the adjoining liver was carried out
-
Case Report A 50 years old lady was admitted with a painful lump in the right side of abdomen of 6 months duration. The lump had progressively and rapidly inqreased in size from 3X4 cm to 14X 12 cm. There was history or" passing altered blood in stool, anorcxia and significant weight loss. she was also symptomatic with low grade fever with evening rise. Examination revealed a poorly nourished pale lady with no icterus or generalized lymphadenopathy. There was a very well defined firm to hard, globular right hypochondrial lump, which was moving well with respiration and could be moved across the midline to left lumbar region (Fig. I). Investigations revealed an Hb of 8.6 g%, TLC 11600/cumm and a non-reactor to ELISA for HIV. Chest X-ray suggested Pulmonary Kochs and patient was exhibited ATT (EHRZ). FNAC was suggestive of Adenocarcinoma. USG showed the lesion to be arising from the gall bladder.
Introduction
P
ure squamous cell carcinoma of the gall bladder is a rare tumor which may present diagnostic difficulty for the histopathologist.Even more rarely it may be well localized being usually poorly differentiated and rapidly fatal [I]. We present a case of moderately differentiated squamous cell carcinoma of the gall bladder which also had paraneoplastic syndrome in the form of leucocytosis. The patient also had unexplained hypotension which could possibly be due to Tumour Necrosis Factor (TNF).
transverse colon was found (Fig. 2). There were no lymph nodes and no ascites. Gall bladder lumen was obliterated and there were no stones. A Radical Cholecystectomy with en-block removal of the adherent colonic loop and the adjoining liver was carried out
-
Case Report A 50 years old lady was admitted with a painful lump in the right side of abdomen of 6 months duration. The lump had progressively and rapidly inqreased in size from 3X4 cm to 14X 12 cm. There was history or" passing altered blood in stool, anorcxia and significant weight loss. she was also symptomatic with low grade fever with evening rise. Examination revealed a poorly nourished pale lady with no icterus or generalized lymphadenopathy. There was a very well defined firm to hard, globular right hypochondrial lump, which was moving well with respiration and could be moved across the midline to left lumbar region (Fig. I). Investigations revealed an Hb of 8.6 g%, TLC 11600/cumm and a non-reactor to ELISA for HIV. Chest X-ray suggested Pulmonary Kochs and patient was exhibited ATT (EHRZ). FNAC was suggestive of Adenocarcinoma. USG showed the lesion to be arising from the gall bladder.
