Carcinoma escamocelular puro primario de vesícula biliar
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Universidad Industrial de Santander
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El carcinoma escamocelular puro primario de vesícula biliar es una neoplasia infrecuente cuya etiología y fisiopatología no están totalmente aclarados. A continuación se presenta el caso de un paciente de género femenino de 68 años de edad, quien presentó un cuadro clínico caracterizado por dolor tipo cólico en hipocondrio derecho, acompañado de náuseas, vómito y fiebre no cuantificada. Se le realizaron pruebas diagnósticas que no fueron concluyentes, por lo cual se ordenó una colecistectomía que reveló un carcinoma escamocelular puro primario de vesícula biliar, que al estudio macro y microscópico revelaba un aumento del volumen del órgano que se asociaba a una distorsión de la arquitectura normal, reemplazada por lesión tumoral infiltrativa. Por tratarse de una variante infrecuente de carcinoma de
vesícula biliar, se reporta este caso, además de las dificultades clínicas que genera su diagnóstico. (MÉD.UIS. 2012;25(2):145-8).
Primary pure squamous cell carcinoma of the gallbladder is a rare neoplasm whose etiology and pathophysiology are incompletely understood. Here is a case of a 68-year-old female patient, who presented a clinical picture characterized by crampy pain in right hypochondrium, accompanied by nausea, vomiting and unquantified fever, diagnostic tests was performed but it was not so conclusive, for this reason, cholecystectomy was ordered and this revealed a primary pure squamous cell carcinoma of the gallbladder, macro and microscopic study revealed an increased volume of the organ that was associated with a distortion of normal architecture, replaced by diffuse infiltrative tumor. This variant of carcinoma is not common, so is reported this case, besides the clinical difficulties generated by the diagnosis. (MÉD.UIS. 2012;25(2):145-8).
Primary pure squamous cell carcinoma of the gallbladder is a rare neoplasm whose etiology and pathophysiology are incompletely understood. Here is a case of a 68-year-old female patient, who presented a clinical picture characterized by crampy pain in right hypochondrium, accompanied by nausea, vomiting and unquantified fever, diagnostic tests was performed but it was not so conclusive, for this reason, cholecystectomy was ordered and this revealed a primary pure squamous cell carcinoma of the gallbladder, macro and microscopic study revealed an increased volume of the organ that was associated with a distortion of normal architecture, replaced by diffuse infiltrative tumor. This variant of carcinoma is not common, so is reported this case, besides the clinical difficulties generated by the diagnosis. (MÉD.UIS. 2012;25(2):145-8).
Keywords
Carcinoma, Gallbladder, Cholecystectomy, Carcinoma, Vesícula biliar, Colecistectomía