Case Report of Carcinoid Tumor with Coexsting Adenocarcinoma of the Gallbladder

Tomotake Satoh, Tatsushi Ide, Tetsuo Morita, Toshiya Itoh*

Department of Surgery, Matsuura Municipal Hospital
*The School of Allied Medical Sciences, Nagasaki University

A very rare case of carcinoid tumor coexisting with adenocarcinoma of the gallbladder is reported. A 70-year-old woman was admitted to the hospital because of urgent dyspnea due to pneumonia. Her general condition was improved with antibiotics, but ultrasonography, CT and ERCP examiantions revealed a papillary tumor suggesting cancer in the neck of the gall bladder. The operation consisted of cholecystectomy with dissection of regional lymph nodes. Macroscopically, two tumors, a papillary tumor and a smooth-surfaced elevated lesion, were observed in the neck and fundus of the gallbladder respectively. Pathohistopathologically, the former tumor was well-differentiated adenocarcinoma and the latter was carcinoid (positive for Grimelius reaction, chromogranin A, NSE and 5-100). She is doing well 10 months after surgery without reccurrence. To our knowledge, this is only the second reported case of carcinoid coexisting with adenocarcinoma of the gall bladder.

Key words
gallbladder carcinoma, gallbladder carcinoid

Reprint requests
Tomotake Satoh Satoh Clinic
372-1 Nanri, Kawasoe-cho, Saga-gun, 840-22 JAPAN

Accepted
February 14, 1996

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