A Case of Pleomorphic Carcinoma of the Pancreas Associated with Gallbladder Carcinoma

Kazuhiko Yoshida, Touru Fukikawa, Ryuuichi Katayama, Yuu Nishida, Norimasa Okabe

Department of Surgery, Kanagawa Prefecture Nurses and Midwives Training School Hospital

A case of pleomorphic carcinoma of the pancreas associated with gallbladder carcinoma is reported. A 64-year-old man complaining of epigastralgia, tarry stools and weight loss was admitted to our hospital. Barium swallow revealed a Borrmann type 1 elevated lesion at the greater curvature of the gastric corpus. Endoscopic biopsy revealed undifferentiated carcinoma of the stomach. Abdominal CT scanning and sonography showed thickness and irregularity of the gallbladder wall. We performed laparotomy under the diagnosis of double carcinoma of the stomach and gallbladder. At the operation, tumors in the pancreatic head and duodenum were discovered. Pancreaticoduodenectomy and extended cholecystectomy were performed. Histologically, the pancreatic tumor was a pleomorphic carcinoma and the lesions of the stomach and duodenum were metastases. The gallbladder carcinoma was a highly differentiated adenocarcinoma and was diagnosed as synchronous double carcinoma.

Key words
pleomorphic carcinoma of the pancreas, gallbladder carcinoma

Reprint requests
Kazuhiko Yoshida Department of Surgery, Kanagawa Prefecture Nurses and Midwives Training School Hospital
1-6-5 Shiomidai, Isogo-ku, Yokohama, Kanagawa, 235 JAPAN

Accepted
October 7, 1992

To read the PDF file you will need Abobe Reader installed on your computer.