A case of so-called carcinosarcoma of the gallbladder associated with anomalous arrangement of the pancreaticobiliary ductal system

Abstract

This report was a case of so-called carcinosarcoma of the gallbladder associated with anomalous arrangement of the pancreaticobiliary ductal system. The patient was a 71-year-old woman who had followed for autoimmune hepatitis were examined abdominal ultrasonography. The ultrasonography showed nodule type tumor of gallbladder. Dynamic CT showed enhancement of tumor from surface mucosa to deep tissue. We also recognized anomalous arrangement of the pancreaticobiliary ductal system on ERCP. Operation was performed in 2000 april 17 and the gallbladder, liver metastasis were resected surgically. And also infurther port system was detained to the proper hepatic artery. The pathological findings were so-called carcinosarcoma composed of well differentiated adenocarcinoma and sarcomatous elements. We treated for liver metastasis using infurther port system, but she died in 2001 January 31 for multiple liver metastasis and peritonitis carcinomatosa.