An important pitfall in diagnosing gall bladder cancer

Spiller, Robin; Feisthammel, J.; Caca, K.; Mössner, J.; Kahn, T.; Kluge, R.
December 2004
Gut;Dec2004, Vol. 53 Issue 12, p1651
Academic Journal
This article focuses on a case study that deals with gall bladder cancer. The case has been presented as a quiz for medical practitioners. A 72 year old male was admitted for recurrent right upper abdominal pain, intermittent fever, and 12 kg weight loss over a period of six months. Abdominal ultrasound revealed cholestasis, a thickened gall bladder wall, and suspected bile duct stones. Endoscopic retrograde cholangiography showed a proximal common bile duct and hilar stenosis, highly suspicious of gall bladder or bile duct cancer. Biopsies were taken showing dysplastic epithelium. Contrast enhanced ultrasound, magnetic resonance imaging, and computed tomography scanning were performed, revealing a hilar infiltration and a thickened gall bladder wall compatible with gall bladder cancer. The article now asks about the most probable clinical course of the patient.


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