| Intraluminal polypoid metastasis of renal cell carcinoma in gallbladder mimicking gallbladder polyp. | |
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MedLine Citation:
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PMID: 20586628 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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CONTEXT: Metastatic renal cell carcinoma (RCC) in gallbladder is rare with only 18 cases published in the English literature. OBJECTIVES: To review the clinicopathologic characteristics of metastatic RCC in gallbladder and to correlate the findings with clinical outcomes. DESIGN: We report 4 additional cases of intraluminal polypoid metastasis of RCC in gallbladder and reviewed all reported cases, to our knowledge, of metastatic RCC in gallbladder in the English literature. RESULTS: Most of the patients (19 of 22; 86%) were men. The ages at presentation ranged from 39 to 84 years with a median age of 61.5 years. All cases showed an intraluminal polypoid/pedunculated mucosal mass mimicking a gallbladder polyp. Histologically, all cases were clear cell RCC with most of the tumors either confined to gallbladder mucosa (67%) or involved both mucosa and muscular layer (27%). The longest interval between nephrectomy and the development of gallbladder metastasis was 27 years. CONCLUSIONS: Metastatic clear cell RCC should be considered in the differential diagnosis of polypoid lesion of the gallbladder with clear cell morphology. Solitary metastasis of RCC in gallbladder correlated with better survival, and simple cholecystectomy for solitary metastatic RCC may provide patients with favorable long-term survival. |
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Authors:
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Xueping Fang; Nilesh Gupta; Steven S Shen; Pheroze Tamboli; Chusilp Charnsangavej; Asif Rashid; Huamin Wang |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Archives of pathology & laboratory medicine Volume: 134 ISSN: 1543-2165 ISO Abbreviation: Arch. Pathol. Lab. Med. Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-30 Completed Date: 2010-07-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7607091 Medline TA: Arch Pathol Lab Med Country: United States |
Other Details:
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Languages: eng Pagination: 1003-9 Citation Subset: AIM; IM |
Affiliation:
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Department of Pathology, University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX 77030, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Carcinoma, Renal Cell / diagnosis*, secondary Diagnosis, Differential Female Gallbladder Diseases / diagnosis* Gallbladder Neoplasms / diagnosis*, secondary* Humans Kidney Neoplasms / pathology* Magnetic Resonance Imaging Male Middle Aged Polyps / diagnosis* Tomography, X-Ray Computed Ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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