A Case Report of the Metastatic Carcinoma of the Gallbladder from the Gastric Cancer

Masahiro Kanno, Yasuyuki Deguchi, Kazuhiko Omote, Ryuichi Akimoto

Department of Surgery, Asanogawa General Hospital

It is very rare to encounter a metastatic tumor of the gallbladder. A 44-year-old male patient was hospitalized with complaints of epigastric discomfort and an abdominal full feeling. Preoperative gastroendoscopic findings showed a Borrmann 3 type gastric cancer and ultrasonographic findings showed multiple echogenic lesions of the gallbladder. Operative findings revealed advanced gastric cancer with paraaortic lymphnode metastasis (N₄), peritoneal dissemination (P₂) and gastric serosal invasion (S₂). Multiple nodules were palpated in the gallbladder but its serosa was normal. Subtotal gastrectomy and cholecystectomy were performed. The resected specimen showed a Borrmann 3 type gastric cancer and multiple submucosal tumors of the gallbladder. Histological findings of both specimens showed the same poorly differentiated adenocarcinoma with lymphatic vessel invasion (ly₂) and CEA staining. We considerd that the gallbladder metastasis was occured through the lymphatic route from the gastric cancer.

Key words
metastatic carcinoma of gallbladder, gastric cancer

Reprint requests
Masahiro Kanno Second Department of Surgery, School of Medicine, Kanazawa University
13-1 Takara-machi, Kanazawa, 920 JAPAN

Accepted
November 8, 1989

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