Occult Gallbladder Carcinoma Presenting as a Primary Ovarian Tumour: a Case Report and Review of Literature
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The ovary is a common site of metastasis from various organs. However, little is known about gallbladder carcinoma metastasising to the ovaries and presenting as a primary ovarian tumour. We report a case of a metastatic gallbladder carcinoma which mimicked a primary ovarian tumour in a 31-year-old woman who presented with menstrual symptoms and an ovarian mass without obvious signs and symptoms related to gallbladder carcinoma. Postoperatively histopathological examination diagnosed primary ovarian germ cell tumour for further chemotherapy. However, postoperative re-evaluation with radiology suggested the possibility of a primary gallbladder carcinoma. Exact diagnosis could only be made after repeat histopathological evaluation of the ovarian mass.
KeywordsGallbladder carcinoma Ovarian metastasis Adenocarcinoma of the ovary
Compliance with Ethical Standards
Written informed consent was obtained from the patient for publication of this case report and accompanying images.
Conflict of Interest
The authors declare that they have no conflict of interest.
- 2.Meriden Z, Yemelyanova AV, Vang R, Ronnett BM (2011) Ovarian metastases of pancreaticobiliary tract adenocarcinomas: analysis of 35 cases, with emphasis on the ability of metastases to simulate primary ovarian mucinous tumors. Am J Surg Pathol 35:276e88Google Scholar
- 7.Carlomagno C, Insabato L, Bifulco G, De Placido S, Lauria R (2010) Ovarian metastasis following gallbladder carcinoma: a case report. Eur J Gynaecol Oncol 31:219e21Google Scholar
- 8.Ricks AM, Han LY, Rashid A, Frumovitz M (2009) Gallbladder carcinoma presenting as a pelvic mass with elevated serum testosterone: a case report. J Reprod Med 54:259e60Google Scholar
- 13.Sun HD, Tsai CC, Hsiao SM, Wei MC, Wang KC (2012) Primary gallbladder carcinoma presenting as advanced-stage ovarian cancer. Taiwan J Obstet Gynecol 51:443e445Google Scholar
- 14.Albores-Saavedra J (1986) Atlas of tumor pathology (second series). Armed Forces Institute of Pathology, WashingtonGoogle Scholar
- 15.What are the key statistics about gallbladder cancer?. American Cancer Society. Available at http://wwwcancerorg/cancer/gallbladdercancer/detailedguide/gallbladder-key-statistics Accessed: Feb 21, 2017
- 17.Majumdar K, Singh DK, Kaur S, Rastogi A, Gondal R (2008) Papillary adenocarcinoma gallbladder with simultaneously detected bilateral ovarian metastasis: a case report. Internet J Gynecol Obst 9:1Google Scholar
- 18.Kanthan R, Senger JL, Kanthan S (2012) The multifaceted granulosa cell tumours—myths and realities: a review. ISRN Obstet Gynaecol 878635:1–12Google Scholar
- 20.Horng HC, Wang PH (2012) Ovarian cancer presenting as an acute abdomen was successfully diagnosed and managed by laparoscopy. Taiwan J Obstet Gynecol 51:146e7Google Scholar
- 22.Lee J, Park SH, Chang HM, Kim JS, Choi HJ, Lee MA et al (2012) Gemcitabine and oxaliplatin with or without erlotinib in advanced biliary-tract cancer: a multicentre, open-label, randomised, phase 3 study. Lancet Oncol 13:181e8Google Scholar