{"title":"[肝脏肿瘤活检诊断胆囊神经内分泌癌并化疗治疗尸检1例]。","authors":"Kenta Ido, Mitsuhiko Shibasaki, Yumeo Tateyama, Takahiro Abe, Daichi Takizawa, Hirotaka Arai, Yuki Shimoda, Mio Furuya, Munenori Ide, Toshio Uraoka","doi":"10.11405/nisshoshi.122.512","DOIUrl":null,"url":null,"abstract":"<p><p>A 71-year-old male patient with multiple liver and lymph node metastases of gallbladder cancer was diagnosed with gallbladder neuroendocrine carcinoma based on liver tumor biopsy. He received chemotherapy with attention to the medical history of interstitial pneumonia and achieved a partial response. The patient died of acute exacerbation of interstitial pneumonia 12 months after diagnosis. A pathological autopsy was performed which confirmed the diagnosis of primary neuroendocrine carcinoma of the gallbladder. The autopsy revealed no adenocarcinoma component, indicating the possibility of transformation from adenocarcinoma to neuroendocrine carcinoma or that the carcinoma originated from a small number of neuroendocrine cells that were originally present in the gallbladder. Gallbladder neuroendocrine carcinoma is very rare, and this case is valuable in that it was diagnosed medically and connected to treatment, and the diagnosis was corroborated with a general autopsy.</p>","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"122 7","pages":"512-519"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Autopsy of neuroendocrine carcinoma of the gallbladder diagnosed based on liver tumor biopsy and treated with chemotherapy:a case report].\",\"authors\":\"Kenta Ido, Mitsuhiko Shibasaki, Yumeo Tateyama, Takahiro Abe, Daichi Takizawa, Hirotaka Arai, Yuki Shimoda, Mio Furuya, Munenori Ide, Toshio Uraoka\",\"doi\":\"10.11405/nisshoshi.122.512\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>A 71-year-old male patient with multiple liver and lymph node metastases of gallbladder cancer was diagnosed with gallbladder neuroendocrine carcinoma based on liver tumor biopsy. He received chemotherapy with attention to the medical history of interstitial pneumonia and achieved a partial response. The patient died of acute exacerbation of interstitial pneumonia 12 months after diagnosis. A pathological autopsy was performed which confirmed the diagnosis of primary neuroendocrine carcinoma of the gallbladder. The autopsy revealed no adenocarcinoma component, indicating the possibility of transformation from adenocarcinoma to neuroendocrine carcinoma or that the carcinoma originated from a small number of neuroendocrine cells that were originally present in the gallbladder. Gallbladder neuroendocrine carcinoma is very rare, and this case is valuable in that it was diagnosed medically and connected to treatment, and the diagnosis was corroborated with a general autopsy.</p>\",\"PeriodicalId\":35808,\"journal\":{\"name\":\"Japanese Journal of Gastroenterology\",\"volume\":\"122 7\",\"pages\":\"512-519\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Japanese Journal of Gastroenterology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.11405/nisshoshi.122.512\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Japanese Journal of Gastroenterology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11405/nisshoshi.122.512","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
[Autopsy of neuroendocrine carcinoma of the gallbladder diagnosed based on liver tumor biopsy and treated with chemotherapy:a case report].
A 71-year-old male patient with multiple liver and lymph node metastases of gallbladder cancer was diagnosed with gallbladder neuroendocrine carcinoma based on liver tumor biopsy. He received chemotherapy with attention to the medical history of interstitial pneumonia and achieved a partial response. The patient died of acute exacerbation of interstitial pneumonia 12 months after diagnosis. A pathological autopsy was performed which confirmed the diagnosis of primary neuroendocrine carcinoma of the gallbladder. The autopsy revealed no adenocarcinoma component, indicating the possibility of transformation from adenocarcinoma to neuroendocrine carcinoma or that the carcinoma originated from a small number of neuroendocrine cells that were originally present in the gallbladder. Gallbladder neuroendocrine carcinoma is very rare, and this case is valuable in that it was diagnosed medically and connected to treatment, and the diagnosis was corroborated with a general autopsy.
期刊介绍:
The Journal of Gastroenterology, which is the official publication of the Japanese Society of Gastroenterology, publishes Original Articles (Alimentary Tract/Liver, Pancreas, and Biliary Tract), Review Articles, Letters to the Editors and other articles on all aspects of the field of gastroenterology. Significant contributions relating to basic research, theory, and practice are welcomed. These publications are designed to disseminate knowledge in this field to a worldwide audience, and accordingly, its editorial board has an international membership.