Skip to main content

Advertisement

Log in

Small Cell Gallbladder Carcinoma Complicated by Paraneoplastic Hyponatremia: A Case Report and Literature Review

  • Brief Communication
  • Published:
Journal of Gastrointestinal Cancer Aims and scope Submit manuscript

Abstract

Introduction

Gallbladder carcinoma has been associated with various paraneoplastic syndromes. These may be the presenting manifestations that lead the clinician to a diagnosis.

Case Report

We report a case of small cell gallbladder carcinoma complicated by paraneoplastic hyponatremia. The hyponatremia was further exacerbated by platinum-based chemotherapy.

Discussion

There have previously been no reports of paraneoplastic hyponatremia in gallbladder carcinoma. We discuss the management of this problem and also provide a short literature review on the other paraneoplastic syndromes associated with gallbladder carcinoma.

Conclusion

Symptoms and signs of gallbladder cancer may be insidious. Thorough workup is needed if the patient presents with symptoms and signs of a paraneoplastic syndrome.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Iype S, Mirza TA, Propper DJ, Bhattacharya S, Feakins RM, Kocher HM. Neuroendocrine tumours of the gallbladder: three cases and a review of the literature. Postgrad Med J. 2009;85(1002):213–8.

    Article  CAS  PubMed  Google Scholar 

  2. List AF. The syndrome of inappropriate secretion of antidiuretic hormone in small cell lung cancer. J Clin Oncol. 1986;4:1191–8.

    CAS  PubMed  Google Scholar 

  3. Adedayo AO, Ebenezer K, Suhail AR. Tumor related hyponatremia. Clin Med Res. 2006;5(4):228–37.

    Google Scholar 

  4. Arieff A, Llach F, Massey SG. Neurological manifestations and morbidity of hyponatremia correlation with brain water and electrolytes. Medicine. 1976;55:121–9.

    Article  CAS  PubMed  Google Scholar 

  5. Dhaliwal HS, Rohatiner AZA, Gregory W, Richards MA, Johnson PWM, Whelan JS, et al. Combination chemotherapy for intermediate and high grade non Hodgkin’s lymphoma. Br J Cancer. 1993;68:767–74.

    CAS  PubMed  Google Scholar 

  6. Tai P, Yu E, Jones K, Sadikov E, Mahmood S, Tonita J. Syndrome of inappropriate antidiuretic hormone secretion (SIADH) in patients with limited stage small cell lung cancer. Lung Cancer. 2006;53(2):211–5.

    Article  PubMed  Google Scholar 

  7. Cao L, Prashant J, Sumoza D. Renal salt wasting in a patient with cisplatin induced hyponatremia. Am J Clin Oncol. 2002;25:344–6.

    Article  PubMed  Google Scholar 

  8. Watanabe Y, Ogino Y, Ubukata E, Sakamoto Y, Matsuzaki O, Shimizu N. A case of a gallbladder cancer with marked hypercalcemia and leukocytosis. Jpn J Med. 1989;28(6):722–6.

    CAS  PubMed  Google Scholar 

  9. Takahashi M, Fujiwara M, Kishi K, Sakai C, Sanada M, Moriyama Y, et al. CSF producing gall bladder cancer: case report and characteristics of the CSF produced by tumor cells. Int J Cell Cloning. 1985;3(5):294–303.

    Article  CAS  PubMed  Google Scholar 

  10. Imoto Y, Muguruma N, Kimura T, Kaji M, Miyamoto H, Okamura S, et al. A case of parathyroid hormone-related peptide producing gallbladder carcinoma presenting humoral hypercalcemia of malignancy. Nippon Shokakibyo Gakkai Zasshi. 2007;104(3):401–6. Japanese.

    PubMed  Google Scholar 

  11. Cuadrado Gómez LM, Audibert Mena L, Pontes Navarro JC, Medina Iglesias P. Hypercalcemia as paraneoplastic syndrome in gallbladder carcinoma. Presentation of a case. Med Clin (Barc). 1988;91(14):557–8. Spanish.

    Google Scholar 

  12. Villabona CM, Esteve M, Vidaller A, Escobedo AP, Pac MP, Petriz L. Hypercalcemic crisis in gallbladder cancer. Acta Gastroenterol Belg. 1986;49(5):532–5.

    CAS  PubMed  Google Scholar 

  13. Kawashima T, Ishida K, Yamamura H, Wakisaka N, Maki H. Gallbladder cancer with hypercalcemic crisis. Nippon Rinsho. 1971;29(5):1433–8. Japanese.

    CAS  PubMed  Google Scholar 

  14. Spence RW, Burns-Cox CJ. ACTH-secreting ‘apudoma’ of gallbladder. Gut. 1975;16(6):473–6.

    Article  CAS  PubMed  Google Scholar 

  15. Albores-Saavedra J, Molberg K, Henson DE. Unusual malignant epithelial tumors of the gallbladder. Semin Diagn Pathol. 1996;13(4):326–38.

    CAS  PubMed  Google Scholar 

  16. Ramirez-Amador V, Esquivel-Pedraza L, Caballero-Mendoza E, Berumen-Campos J, Orozco-Topete R, Angeles-Angeles A. Oral manifestations as a hallmark of malignant acanthosis nigricans. J Oral Pathol Med. 1999;28(6):278–81. Review.

    Article  CAS  PubMed  Google Scholar 

  17. Arora A, Choudhuri G, Tandon RK. Acanthosis nigricans associated with adenocarcinoma of the gallbladder. Am J Gastroenterol. 1985;80(11):896–7.

    CAS  PubMed  Google Scholar 

  18. Ziadi T, Alahyane A, El Fahssi M, Makhmari R, Elhjouji A, Baba H, et al. Adenocarcinoma of gallbladder revealed by acanthosis nigricans. Gastroenterol Clin Biol. 2009;33(10-11):986–8. French.

    Article  CAS  PubMed  Google Scholar 

  19. Werko L. Acanthosis nigricans associated with carcinoma of the gallbladder and plantar hyperkeratosis. Acta Derm Venereol. 1945;26:70–83.

    Google Scholar 

  20. Jacobs MI, Rigel DS. Acanthosis nigricans and the sign of Leser-Trélat associated with adenocarcinoma of the gallbladder. Cancer. 1981;48(2):325–8.

    Article  CAS  PubMed  Google Scholar 

  21. Yiannopoulos G, Ravazoula P, Meimaris N, Stavropoulos M, Andonopoulos AP. Dermatomyositis in a patient with adenocarcinoma of the gall bladder. Ann Rheum Dis. 2002;61(7):663–4.

    Article  CAS  PubMed  Google Scholar 

  22. Kundu AK, Karmakar PS, Bera AB, Pal SK. Carcinoma of the gall bladder presenting as dermatomyositis. J Assoc Phys India. 2005;53:219–22.

    CAS  Google Scholar 

  23. Uribe-Uribe NO, Jimenez-Garduño AM, Henson DE, Albores-Saavedra J. Paraneoplastic sensory neuropathy associated with small cell carcinoma of the gallbladder. Ann Diagn Pathol. 2009;13(2):124–6.

    Article  PubMed  Google Scholar 

  24. Ogawa M, Nishie M, Kurahashi K, Kaimori M, Wakabayashi K. Anti-Hu associated paraneoplastic sensory neuronopathy with upper motor neurone involvement. J Neurol Neurosurg Psychiatry. 2004;75(7):1051–3.

    Article  CAS  PubMed  Google Scholar 

  25. Corcia P, De Toffol B, Hommet C, Saudeau D, Autret A. Paraneoplastic opsoclonus associated with cancer of the gall bladder. J Neurol Neurosurg Psychiatry. 1997;62(3):293.

    Article  CAS  PubMed  Google Scholar 

  26. Phan TG, Hersch M, Zagami AS. Guillain-Barré syndrome and adenocarcinoma of the gall bladder: a paraneoplastic phenomenon? Muscle Nerve. 1999;22(1):141–2.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Benjamin Y. Chuah.

Additional information

The authors have no conflict of interest to disclose

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ng, E.S., Venkateswaran, K., Ganpathi, S.I. et al. Small Cell Gallbladder Carcinoma Complicated by Paraneoplastic Hyponatremia: A Case Report and Literature Review. J Gastrointest Canc 41, 264–268 (2010). https://doi.org/10.1007/s12029-010-9151-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12029-010-9151-2

Keywords

Navigation