tailieunhanh - Báo cáo y học: "Occult gallbladder carcinoma presenting as a primary ovarian tumor in two women: two case reports and a review of the literature"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Occult gallbladder carcinoma presenting as a primary ovarian tumor in two women: two case reports and a review of the literature. | Kumar et al. Journal of Medical Case Reports 2010 4 202 http content 4 1 202 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Occult gallbladder carcinoma presenting as a primary ovarian tumor in two women two case reports and a review of the literature 1 3 3 2 Yashwant Kumar Alka Chahal Monika Garg Anjali Bhutani Abstract Introduction The ovary is a common site of metastasis from various organs. However little is known about gallbladder carcinoma metastasizing to the ovaries and presenting as a primary ovarian tumor. Case presentation We report two cases of a metastatic gallbladder carcinoma which mimicked a primary ovarian tumor in a 35-year-old and a 62-year-old North Indian woman. Clinically both our patients presented with abdominal masses without obvious signs and symptoms related to gallbladder carcinoma. Radiology suggested the possibility of a primary ovarian tumor with chronic cholecystitis and cholelithiasis. The gross features also mimicked a primary malignant ovarian tumor in the first case and a benign mucinous neoplasm in the second case. Exact diagnoses could only be made after thorough sampling from both the ovaries and gallbladder. Conclusions Gallbladder carcinoma with metastasis to the ovaries can mimic both malignant and benign primary ovarian tumors. Extensive cystic change in the ovary due to metastasis from gallbladder carcinoma has rarely been reported. A high index of suspicion and thorough sampling are essential to avoid misdiagnosis in such cases. Introduction Ovary is a relatively frequent site of metastasis from various organs especially pancreas and gastrointestinal tract. Rarely the metastasis may precede detection of the primary site and may present as an ovarian tumor 1 . Metastasis from gallbladder to ovaries though known is rare with only few reports available in the English literature 2-9 . Some of these were initially misdiagnosed as a primary ovarian tumor. Lack of awareness or limited