Gallbladder Tumor Treated Through Chemotherapy: A Case Report

João Kleber de Almeida Gentile
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Abstract

The Gallbladder neoplasia is rare and has a high mortality rate, thus surgery is still the usual curative treatment for the disease. Once its diagnosis is usually tricky and at a late stage, there is the necessity of using neoadjuvant chemotherapy in advanced cases. We report the case of a 51-year-old man diagnosed with gallbladder cancer presenting liver invasion but no metastasis. Initially, it was considered inoperable so the patient was submitted to neoadjuvant chemotherapy with gemcitabine. By the end of chemotherapy, the radiological examination showed the complete reduction of the lesion, choosing to proceed with the salvage surgery. Therefore, it was performed conventional cholecystectomy with liver resection (segments V and VI) and regional lymphadenectomy. The histopathological examination did not show neoplasia in any of the resected tissues or lymph nodes involvement. The patient evolved to the cure of the disease with chemotherapy
化疗治疗胆囊肿瘤1例
胆囊肿瘤罕见且死亡率高,因此手术仍是治疗该疾病的常用方法。一旦它的诊断通常是棘手的和在晚期,有必要使用新辅助化疗的晚期病例。我们报告一个51岁男性胆囊癌的病例,表现为肝脏侵犯但没有转移。最初,认为不能手术,因此患者接受吉西他滨新辅助化疗。化疗结束时,放射检查显示病灶完全缩小,选择继续进行抢救手术。因此,行常规胆囊切除术加肝切除(V、VI节段)和局部淋巴结切除术。组织病理学检查未见任何切除组织瘤变或淋巴结受累。病人的病情发展到通过化疗得以治愈
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