1. Gallbladder Adenosquamous Cancer with Situs Inversus Totalis: A Case Report and Literature Review.
- Author
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Huang, Junming, Yang, Hanjin, Wang, Meng, Zhao, Xinyu, Shao, Shiyi, Zhang, Fu, Que, Risheng, Hu, Qida, and Liang, Tingbo
- Subjects
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SITUS inversus , *GALLBLADDER cancer , *COMPUTED tomography , *CONGENITAL disorders , *LITERATURE reviews , *GENETIC disorders - Abstract
Background: Situs inversus totalis (SIT) is a rare genetic congenital disease, characterized with complete right-to-left inversion of all the internal organs. We herein describe a meaningful case which was diagnosed as gallbladder adenosquamous carcinoma, a rare histology type of gallbladder cancer, with SIT. Case Presentation: A 59-year-old Chinese woman was admitted for persistent epigastric distention and intermittent abdominal pain. The abdominal CT scan revealed a huge mass at the gallbladder bottom, involving the adjacent transverse colon and liver. En-bloc radical resection of the gallbladder cancer, including partial colectomy and hepatectomy with regional node dissection, followed by colocolostomy and Roux-en-Y choledochojejunostomy, was successfully performed. Pathology analysis indicated an adenosquamous carcinoma with positive adenocarcinoma markers (CK7, CK19) and squamous carcinoma markers (CK5/6, P63). Conclusion: The SIT anomaly might increase the risk of malignancies by sharing genome mutations, suggesting the importance of surveillance in the SIT settings. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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