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Surgery Today

, Volume 23, Issue 4, pp 350–355 | Cite as

A patient with early gallbladder cancer derived from a Rokitanski-Aschoff sinus

  • Takahiko Funabiki
  • Sumio Matsumoto
  • Norio Tsukada
  • Tadahiro Kimura
  • Satoshi Yoshizaki
  • Yoshimune Horibe
Case Reports

Abstract

We present herein a case of a 40-year-old male with early gallbladder cancer derived from a Rokitanski-Aschoff sinus (RAS). The patient originally presented at our hospital with epigastric discomfort, following which a diagnosis of adenomyomatosis (ADM) of the gallbladder was made, and a cholecystectomy performed. Histopathological examination of the resected specimen revealed a 7-mm well-differentiated papillo-tubular adenocarcinoma in the RAS epithelium in the body of the gallbladder. The RAS extended to the “pm” layer but the adenocarcinoma was an in situ lesion localized within the RAS epithelium. Considering the difficulties in making an early diagnosis of gallbladder cancer, active surgery should be performed for patients in whom ADM is seen in the gallbladder.

Key Words

early gallbladder cancer Rokitanski-Aschoff sinuses adenomyomatosis 

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Copyright information

© Springer-Verlag 1993

Authors and Affiliations

  • Takahiko Funabiki
    • 1
  • Sumio Matsumoto
    • 1
  • Norio Tsukada
    • 1
  • Tadahiro Kimura
    • 1
  • Satoshi Yoshizaki
    • 1
  • Yoshimune Horibe
    • 2
  1. 1.The Department of Surgery, Second Teaching HospitalFujita Health University School of medicineNagoyaJapan
  2. 2.The Department of Pathology, Second Teaching HospitalFujita Health University School of medicineNagoyaJapan

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