Two Cases of Squamous Cell Carcinoma of the Gallbladder

Tsuyoshi Abe, Takuro Saito, Toshiyuki Takeshige, Osamu Konno, Yasushi Teranishi, Shinya Terashima, Atsushi Moriyama, Yukio Endo, Hitoshi Inoue, Ryoichi Motoki

First Department of Surgery, Fukushima Medical College

Case one was a 73-year-old man. He was admitted to our hospital with the chief complaint of right hypochondralgia and fever. Ultrasonography and computed tomography showed a markedly dilated gallbladder containing a nodular tumor. Under a preoperative diagnosis of carcinoma of the gallbladder, extended cholecystectomy with wedge resection of the liver and regional lymphadenectomy was performed. The pathologic findings was squamous cell carcinoma (SCC). He had received chemotherapy and survived with no evidence of recurrence, but died of pneumonia fifty-eight months after the operation. Case two was a 70-year-old woman. She was admitted to our hospital with the chief complaint of epigastralgia and fever. Ultrasonography and computed tomography showed a markedly distended gallbladder filled with tumors. Under a preoperative diagnosis of carcinoma of the gallbladder, extended cholecystectomy with wedge resection of the liver and regional lymphadenectomy was performed. The pathologic finding was SCC. Although she received no anticancer chemotherapy after the operation, no recurrence of her symptoms had been detected for one year. Since SCC of the gallbladder has a tendency to localize, curative operation by extensive surgical resection is recommended even if the case is advanced.

Key words
squamous cell carcinoma of the gallbladder

Reprint requests
Tsuyoshi Abe First Department of Surgery, Fukushima Medical College
1 Hikarigaoka, Fukushima-city, 960-12 JAPAN

Accepted
January 13, 1993

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