A Case Report of the Metastatic Carcinoma of the Gallbladder from the Gastric Cancer

Abstract

It is very rare to encounter a metastatic tumor of the gallbladder. A 44-yearold male patient was hospitalized with complaints of epigastric discomfort and an abdominal full feeling. Preoperative gastroendoscopic findings showed a Borrmann 3 type gastric cancer and ultrasonqgraphic findings showed multiple echogenic lesions of the gallbladder. Operative findings revealed advanced gastric cancer with paraaortic lymphnode metastasis (N₄), peritoneal dissemination (P₂) and gastric serosal invasion (S₂). Multiple nodules were palpated in the gallbladder but its serosa was normal. Subtotal gastrectomy and cholecystectomy were performed. The resected specimen showed a Borrmann 3 type gastric cancer and multiple submucosal tumors of the gallbladder. Histological findings of both specimens showed the same poorly differentiated adenocarcinoma with lymphatic vessel invasion (ly₂) and CEA staining. We considerd that the gallbladder metastasis was occured through the lymphatic route from the gastric cancer.