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...

Full description

Bibliographic Details
Main Authors: Rastogi Archana, Singh Deepak, Sakhuja Puja, Gondal Ranjana
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2010-01-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2010;volume=53;issue=1;spage=144;epage=147;aulast=Rastogi
_version_ 1819104550917767168
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.
first_indexed 2024-12-22T02:08:09Z
format Article
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