Laparoscopic Surgery for a Patient With Multiple Liver Metastases of Unknown Origin Concomitant With Gallbladder Tumor.

cancer of unknown primary site gallbladder tumor laparoscopic surgery liver metastases of unknown primary site metastatic adenocarcinoma

Journal

In vivo (Athens, Greece)
ISSN: 1791-7549
Titre abrégé: In Vivo
Pays: Greece
ID NLM: 8806809

Informations de publication

Date de publication:
Historique:
received: 19 05 2021
revised: 09 06 2021
accepted: 11 06 2021
entrez: 19 8 2021
pubmed: 20 8 2021
medline: 24 8 2021
Statut: ppublish

Résumé

The liver is the digestive organ where metastatic adenocarcinoma of unknown primary site is most often observed. A 74-year-old man was diagnosed with a growing gallbladder tumor and multiple liver tumors limited to the left lateral sector. Liver tumors were suggested to be primary or secondary adenocarcinoma with no relation to the gallbladder tumor. Also for diagnostic purposes, laparoscopic full-thickness resection of the gallbladder, laparoscopic lateral sectionectomy and lymph node sampling were performed. The final histopathological diagnosis was hyperplastic polyp of the gallbladder and metastatic poorly differentiated adenocarcinoma of the liver. Liver tumors were suspected to originate from the stomach, duodenum, or small intestine; however, the primary sites could not be identified. The patient has been closely followed up without any chemotherapy 3 months after surgery. Laparoscopic surgery can be strongly recommended for patients with multiple liver tumors of unknown origin concomitant with a gallbladder tumor.

Sections du résumé

BACKGROUND BACKGROUND
The liver is the digestive organ where metastatic adenocarcinoma of unknown primary site is most often observed.
CASE REPORT METHODS
A 74-year-old man was diagnosed with a growing gallbladder tumor and multiple liver tumors limited to the left lateral sector. Liver tumors were suggested to be primary or secondary adenocarcinoma with no relation to the gallbladder tumor. Also for diagnostic purposes, laparoscopic full-thickness resection of the gallbladder, laparoscopic lateral sectionectomy and lymph node sampling were performed. The final histopathological diagnosis was hyperplastic polyp of the gallbladder and metastatic poorly differentiated adenocarcinoma of the liver. Liver tumors were suspected to originate from the stomach, duodenum, or small intestine; however, the primary sites could not be identified. The patient has been closely followed up without any chemotherapy 3 months after surgery.
CONCLUSION CONCLUSIONS
Laparoscopic surgery can be strongly recommended for patients with multiple liver tumors of unknown origin concomitant with a gallbladder tumor.

Identifiants

pubmed: 34410995
pii: 35/5/2963
doi: 10.21873/invivo.12590
pmc: PMC8408742
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2963-2968

Informations de copyright

Copyright © 2021 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

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Auteurs

Yoshihiro Hara (Y)

Department of Surgery, Yamaga City Medical Center, Kumamoto, Japan.

Kensuke Yamamura (K)

Department of Surgery, Yamaga City Medical Center, Kumamoto, Japan.

Kazuki Matsumura (K)

Department of Surgery, Yamaga City Medical Center, Kumamoto, Japan.

Eri Oda (E)

Department of Surgery, Yamaga City Medical Center, Kumamoto, Japan.

Shinichi Akahoshi (S)

Department of Surgery, Yamaga City Medical Center, Kumamoto, Japan.

Hideaki Yuki (H)

Department of Radiology, Yamaga City Medical Center, Kumamoto, Japan.

Jun Tomiguchi (J)

Department of Gastroenterology, Yamaga City Medical Center, Kumamoto, Japan.

Toshihiko Motohara (T)

Department of Gastroenterology, Yamaga City Medical Center, Kumamoto, Japan.

Hideaki Miyamoto (H)

Department of Medical Oncology, Yamaga City Medical Center, Kumamoto, Japan.

Yoshihiko Komohara (Y)

Department of Cell Pathology, Graduate School of Medicine, Kumamoto University, Kumamoto, Japan.

Toru Beppu (T)

Department of Surgery, Yamaga City Medical Center, Kumamoto, Japan; tbeppu@yamaga-mc.jp.

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