Title: Carcinosarcoma of Gallbladder with Metastases in Liver and a Lymph Node

Authors: AK Kapoor, Akanksha Singh, Pratibha Singh

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i10.184

Abstract

Carcinosarcomas are highly malignant neoplasms where pleomorphic epithelial cells comingle with areas showing mesenchymal differentiation.  Herewith, we describe the clinicopathological features of a case of carcinosarcoma gallbladder (CSGB).  The patient was a female, aged 60 years. Immunohistochemical (IHC) examination revealed strong positivity of adenocarcinomatous tissue for cytokeratin while sarcomatous tissue showed vimentin antigen positivity.  Findings of current case suggested differentiation of pluripotent tumor cells both as epithelial and mesenchymal components.  She was diagnosed as a case of CSGB metastasizing in liver and a regional lymph node.

Keywords: Epithelial mesenchymal differentiation in a malignant neoplasm.

References

  1. Herrera-Goepfert R, Ortega Jde JM, Rodriguez-Martinez HA. Carcinosarcoma of the gallbladder.  HistolHistopath 1987; 2 : 273-275.
  2. Park SB, Kim YH, Rho HL, Chae GB, Hong SK. Primary carcinosarcoma of the gallbladder.  J of Korean Surg Society 2012; 82 : 54-58.
  3. Gabbi C, Kim H, Barros R, Korach-Andre M, Warner M, Gustafsson J. Estrogen-dependent gallbladder carcinogenesis in LXRβ-/- female mice.  PNAS 2010; 107(33) : 14763-14768.
  4. Huguet KL, Hugbes CB, Hewitt WR. Gallbladdercarcinosarcoma : A case report and literature review.  J GastrointestSurg 2005; 9 : 818-821.
  5. Li Y, Zhang J, Ma H. Chronic inflammation and gallbladder cancer.  Cancer letters 2014; 345 : 242-248.
  6. Nath G, Singh H, Shukla VK. Chronic typhoid carriage and carcinoma of the gallbladder.  Eur J Cancer prev 1997; 6 : 557-559.
  7. Barreto SG, Dutt A, Chaudhary A. A genetic model for gallbladder carcinogen-nesis and its dissemination.  Annals of oncology 2014; 25 : 1086-1097.
  8. Nigam J, Chandra A, Kazmi HR, Parmar D, Singh D, Gupta V. Prognostic signifi-cance of survivin in resected gallbladder cancer.  J Surg Res 2015; 194 : 57-62.
  9. Zhang L, Chen Z, Fukuma M, Lee LY, Wu M. Prognostic significance of race and tumor size in carcinosarcoma of gallbladder.  A meta-Analysis of 68 cases.  Int J ClinExpPathol 2008; 1:75-83.

Corresponding Author

Ashok Kumar Kapoor

RML Mehrotra Pathology Pvt Limited,

B 171, Nirala Nagar, Lucknow, India

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