A Case of the early gallbladder cancer that the Is-type and the IIb-type, the Ip-type without the adenoma were existed together

Abstract

A 73-year-old woman was pointed out a gall bladder polyp by abdominal ultrasonography (US) enforced in a screening purpose, and was admitted to our hospital because of further examination. We diagnosed it as multiple early gallbladder cancers by endoscopic ultrasonography (EUS) and endoscopic double contrast cholecystography, and the cholecystectomy was carried out. The pathology organization diagnosis was, adenocarcinoma (pap-tub1, tub1, low grade, tub2), mp, ly0, v0, pn0, pHinf0, pBinf0, pBM0, pHM0, pEM0, 0-Is+0-Ib+0-Ip, pat Gbn. We experienced a case of the early gallbladder cancer that the Is-type and the IIb-type, the Ip-type without the adenoma were co-existed together. In the graft, it seemed with a rare case from the point where the possibility was thought about of multiple cancer, and the point that was Ip-type early gallbladder cancer without the adenoma.