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Fırat Tıp Dergisi |
2013, Cilt 18, Sayı 3, Sayfa(lar) 185-187 |
[ Turkish ] [ Tam Metin ] [ PDF ] |
Portsite Metastasis in Coincidental Gallbladder Tumors: A Case Report |
Murat ÇAKIR1, Tevfik KÜÇÜKKARTALLAR1, Ahmet TEKİN1, Aykut YILDIRIM1, Hüseyin YILMAZ2, Faruk AKSOY1 |
1Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Konya, Türkiye 2Selçuk Üniversitesi Selçuklu Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Konya, Türkiye |
Carcinoma gall bladder is a disease with high mortality and is usually diagnosed as an incidental case among patients undergoing laparoscopic cholecystectomy for symptomatic gall stone disease. A 80-year-old woman underwent a laparoscopic cholecystectomy for symptomatic cholelithiasis. Twenty-four months later, she was admitted to the hospital with a complaint of a mass at the trocar site. A biopsy from the portsite led to the diagnosis of adenocarcinoma metastasis. A 56-year-old man was diagnosed as gallbladder carcinoma by postoperative histological examination following laparoscopic cholecystectomy. He underwent the second surgery of resection of gallbladder bed on the liver and portsite with lymph node dissection. That could raise a suspicion of malignancy of gallbladder and so use of retrieval bag as a routine measure in cases with bile spillage may reduce the incidence of portsite metastasis..
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