Florid xanthogranulomatous cholecystitis masquerading as invasive gallbladder cancer leading to extensive surgical resection
Xanthogranulomatous inflammation of gallbladder wall can extend and infiltrate adjacent organs which can be mistaken for malignancy on preoperative investigations and, intraoperatively, often leads to extensive surgical resections. Only the histopathologic examination of the specimen allows correct...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2010-01-01
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Series: | Indian Journal of Pathology and Microbiology |
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Online Access: | http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2010;volume=53;issue=1;spage=144;epage=147;aulast=Rastogi |
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author | Rastogi Archana Singh Deepak Sakhuja Puja Gondal Ranjana |
author_facet | Rastogi Archana Singh Deepak Sakhuja Puja Gondal Ranjana |
author_sort | Rastogi Archana |
collection | DOAJ |
description | Xanthogranulomatous inflammation of gallbladder wall can extend and infiltrate adjacent organs which can be mistaken for malignancy on preoperative investigations and, intraoperatively, often leads to extensive surgical resections. Only the histopathologic examination of the specimen allows correct diagnosis. We hereby review clinicopathologic findings of six cases which underwent extensive surgeries on clinical, radiological and intraoperative suspicion of gallbladder carcinoma which turned out to be xanthogranulomatous cholecystitis (XGC). There was no evidence of malignancy on histopathologic examination. Xanthogranulomatous inflammation extended into liver, duodenum, colon and stomach in case 1; liver and colon in case 2; liver, duodenum, colon in case 3; stomach, duodenum, colon in case 4; stomach and duodenum in case 5 and duodenum and colon in case 6. Lymph nodes in all the six cases showed reactive hyperplasia. We present here the clinico-radiologic findings of these cases, techniques which may help differentiate between an XGC and a gallbladder carcinoma and also discuss the management of these cases. |
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id | doaj.art-bbf12a33f491447d8ac4171eaca4efa1 |
institution | Directory Open Access Journal |
issn | 0377-4929 0974-5130 |
language | English |
last_indexed | 2024-12-22T02:08:09Z |
publishDate | 2010-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Indian Journal of Pathology and Microbiology |
spelling | doaj.art-bbf12a33f491447d8ac4171eaca4efa12022-12-21T18:42:28ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49290974-51302010-01-01531144147Florid xanthogranulomatous cholecystitis masquerading as invasive gallbladder cancer leading to extensive surgical resectionRastogi ArchanaSingh DeepakSakhuja PujaGondal RanjanaXanthogranulomatous inflammation of gallbladder wall can extend and infiltrate adjacent organs which can be mistaken for malignancy on preoperative investigations and, intraoperatively, often leads to extensive surgical resections. Only the histopathologic examination of the specimen allows correct diagnosis. We hereby review clinicopathologic findings of six cases which underwent extensive surgeries on clinical, radiological and intraoperative suspicion of gallbladder carcinoma which turned out to be xanthogranulomatous cholecystitis (XGC). There was no evidence of malignancy on histopathologic examination. Xanthogranulomatous inflammation extended into liver, duodenum, colon and stomach in case 1; liver and colon in case 2; liver, duodenum, colon in case 3; stomach, duodenum, colon in case 4; stomach and duodenum in case 5 and duodenum and colon in case 6. Lymph nodes in all the six cases showed reactive hyperplasia. We present here the clinico-radiologic findings of these cases, techniques which may help differentiate between an XGC and a gallbladder carcinoma and also discuss the management of these cases.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2010;volume=53;issue=1;spage=144;epage=147;aulast=RastogiCarcinomacholecystitisgallbladderxanthogranulomatous |
spellingShingle | Rastogi Archana Singh Deepak Sakhuja Puja Gondal Ranjana Florid xanthogranulomatous cholecystitis masquerading as invasive gallbladder cancer leading to extensive surgical resection Indian Journal of Pathology and Microbiology Carcinoma cholecystitis gallbladder xanthogranulomatous |
title | Florid xanthogranulomatous cholecystitis masquerading as invasive gallbladder cancer leading to extensive surgical resection |
title_full | Florid xanthogranulomatous cholecystitis masquerading as invasive gallbladder cancer leading to extensive surgical resection |
title_fullStr | Florid xanthogranulomatous cholecystitis masquerading as invasive gallbladder cancer leading to extensive surgical resection |
title_full_unstemmed | Florid xanthogranulomatous cholecystitis masquerading as invasive gallbladder cancer leading to extensive surgical resection |
title_short | Florid xanthogranulomatous cholecystitis masquerading as invasive gallbladder cancer leading to extensive surgical resection |
title_sort | florid xanthogranulomatous cholecystitis masquerading as invasive gallbladder cancer leading to extensive surgical resection |
topic | Carcinoma cholecystitis gallbladder xanthogranulomatous |
url | http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2010;volume=53;issue=1;spage=144;epage=147;aulast=Rastogi |
work_keys_str_mv | AT rastogiarchana floridxanthogranulomatouscholecystitismasqueradingasinvasivegallbladdercancerleadingtoextensivesurgicalresection AT singhdeepak floridxanthogranulomatouscholecystitismasqueradingasinvasivegallbladdercancerleadingtoextensivesurgicalresection AT sakhujapuja floridxanthogranulomatouscholecystitismasqueradingasinvasivegallbladdercancerleadingtoextensivesurgicalresection AT gondalranjana floridxanthogranulomatouscholecystitismasqueradingasinvasivegallbladdercancerleadingtoextensivesurgicalresection |