Gallbladder adenomyomatosis with tubercular portal lymphadenopathy masquerading as gallbladder carcinoma.

Arab J Gastroenterol

Department of General Surgery, Medical College, Kolkata, 88 College Street, Kolkata 700073, West Bengal, India.

Published: September 2012

AI Article Synopsis

  • - Gallbladder carcinoma tends to affect older females, and if periportal adenopathy is present, it usually indicates advanced cancer, leading to palliative care instead of surgery.
  • - Isolated periportal tuberculosis is rare, but in this case study, a mass thought to be gallbladder carcinoma with metastasis was actually a gallbladder adenomyoma with periportal tuberculosis.
  • - This case highlights the common issue of misinterpreting gallbladder mass lesions as cancerous when they may not be malignant.

Article Abstract

Gallbladder carcinoma is more likely to occur in elderly females and the presence of periportal adenopathy often signifies advanced disease. Such patients are generally not taken up for surgery and are treated palliatively. Isolated periportal tuberculosis without the evidence of disease elsewhere is in itself a rarity. Here we present a case study of gallbladder mass suspected of being gallbladder carcinoma with portal lymphatic metastasis actually turning out to be that of gallbladder adenomyoma with periportal tuberculosis. This case illustrates how mass lesions of the gallbladder are commonly and falsely interpreted to be malignant.

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Source
http://dx.doi.org/10.1016/j.ajg.2012.08.006DOI Listing

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