FNAC Diagnosis of Gallbladder Adenocarcinoma presenting as multiple skin Nodules and Jaundice

Santosh Kumar Mondal; Debashish Bhattacharjee

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FNAC Diagnosis of Gallbladder Adenocarcinoma presenting as multiple skin Nodules and Jaundice

机译：FNAC诊断胆囊腺癌表现为多发皮肤结节和黄疸

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Cutaneous metastasis is a rare manifestation of visceral malignancies, a phenomenon seen in 1% to 3% of all metastasizing tumors. A 62 years old female presented with multiple skin nodules in the neck and jaundice for 2 months. FNAC from the skin nodules revealed hypercellular smear composed of malignant epithelial cells arranged in clusters and glandular patterns. A provisional diagnosis of metastatic adenocarcinoma was given. USG and CT-scan of abdomen revealed a tumor in gallbladder fossa. USG guided FNAC and later on histopathological examination from the biopsy of the gallbladder tumor clinched the diagnosis of moderately differentiated gallbladder adenocarcinoma. Biopsy from the skin nodules revealed adenocarcinoma metastasis in skin. The patient was given postoperative chemotherapy and radiotherapy. Follow up period (3 months) was eventful.

机译：皮肤转移是内脏恶性肿瘤的罕见表现，这种现象在所有转移性肿瘤的1％至3％中可见。一名62岁的女性在颈部和黄疸中出现多个皮肤结节，持续2个月。皮肤结节的FNAC揭示了由呈簇状和腺状排列的恶性上皮细胞组成的高细胞涂片。初步诊断为转移性腺癌。 USG和腹部CT扫描显示胆囊窝有肿瘤。 USG指导FNAC，随后从胆囊肿瘤活检中进行组织病理学检查，明确诊断了中分化胆囊腺癌。皮肤结节活检显示皮肤中有腺癌转移。病人接受了术后化疗和放疗。随访期（3个月）多发。

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《Oncology, Gastroenterology and Hepatology Reports》 |2017年第1期|共3页
作者
Santosh Kumar Mondal; Debashish Bhattacharjee;
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FNAC Diagnosis of Gallbladder Adenocarcinoma presenting as multiple skin Nodules and Jaundice

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