» Articles » PMID: 35858746

Carcinosarcoma with Chondroid Differentiation and Neuroendocrine Carcinoma: Unusual Triphasic Tumour Arising from Intracholecystic Papillary Neoplasm of the Gall Bladder

Overview
Journal BMJ Case Rep
Specialty General Medicine
Date 2022 Jul 20
PMID 35858746
Authors
Affiliations
Soon will be listed here.
Abstract

Herein, we report a man in his 70s with gallbladder mass. Microscopically, the tumour demonstrated moderately differentiated adenocarcinoma, sarcoma with focal chondroid differentiation and high-grade neuroendocrine tumour component arising in an intracholecystic papillary neoplasm. The patient did not receive adjuvant chemotherapy in the setting of complete surgical resection. Patient presented with extensive metastasis after 47 months and died 3 months later. Due to the low incidence and poor prognosis of this tumour, it is essential to gather all the individual experience-based information. To our knowledge, this is the first reported case of carcinosarcoma arising from intracholecystic papillary-tubular neoplasm.

Citing Articles

Extensively Invasive Gallbladder Cancer from Intracholecystic Papillary Neoplasm Treated with Pylorus-Preserving Pancreaticoduodenectomy and Extended Cholecystectomy: A Case Report and Literature Review.

Kumagai H, Umemura A, Nitta H, Katagiri H, Nishiya M, Uesugi N Case Rep Surg. 2023; 2023:5825045.

PMID: 37396494 PMC: 10314817. DOI: 10.1155/2023/5825045.

References
1.
Adsay V, Jang K, Roa J, Dursun N, Ohike N, Bagci P . Intracholecystic papillary-tubular neoplasms (ICPN) of the gallbladder (neoplastic polyps, adenomas, and papillary neoplasms that are ≥1.0 cm): clinicopathologic and immunohistochemical analysis of 123 cases. Am J Surg Pathol. 2012; 36(9):1279-301. DOI: 10.1097/PAS.0b013e318262787c. View

2.
Okabayashi T, Sun Z, Montgomey R, Hanazaki K . Surgical outcome of carcinosarcoma of the gall bladder: a review. World J Gastroenterol. 2009; 15(39):4877-82. PMC: 2764963. DOI: 10.3748/wjg.15.4877. View

3.
Shintaku M, Kataoka K, Kawabata K . Mixed adenoneuroendocrine carcinoma of the gallbladder with squamous cell carcinomatous and osteosarcomatous differentiation: report of a case. Pathol Int. 2013; 63(2):113-9. DOI: 10.1111/pin.12029. View

4.
Zhang L, Chen Z, Fukuma M, Lee L, Wu M . Prognostic significance of race and tumor size in carcinosarcoma of gallbladder: a meta-analysis of 68 cases. Int J Clin Exp Pathol. 2008; 1(1):75-83. PMC: 2480528. View

5.
Aldossary M, AlQattan A, Alghamdi Y, Alayed A, Alquraish F, AlAnzi O . Surgical outcomes of primary carcinosarcoma of the gallbladder after curative resection: A rare case series. Int J Surg Case Rep. 2019; 65:32-39. PMC: 6838533. DOI: 10.1016/j.ijscr.2019.10.056. View