J Korean Surg Soc.
2000 May;58(5):729-734.
A Case of Small Cell Carcinoma of the Gallbladder
- Affiliations
-
- 1Department of Surgery, Soonchunhyang University College of Medicine, Chunan, Korea.
- 2Department of Pathology, Soonchunhyang University College of Medicine, Chunan, Korea.
Abstract
-
A small-cell carcinoma of the gallbladder is an uncommon cancer with high malignancy potential.
It is usually found in elderly women and is associated with cholelithiasis. These tumors show an aggres
sive clinical course and death usually occurs within a few months after diagnosis. The diagnosis of a
small-cell carcinoma should be based on cell morphology, histologic pattern, and immunohistochemical
study. Correct diagnosis is important not only because these tumors give rise to endocrine syndrome
but also because the chemotherapeutic approach to a small-cell carcinoma differs from that for an adeno
carcinoma. We experienced a case of a small-cell carcinoma of the gallbladder in a 73-year-old woman
with acute cholecystitis syndrome. She was treatment with a palliative cholecystectomy and chemotherapy
with short-term excellent response. The literature on the subject is reviewed.