Gallbladder's @entity1358 XXXX : A case report.

@entity1 @entity1358 @entity3 @entity1085
INTRODUCTION: @entity1358 ( @entity1358 ) is well known for its propensity to metastasize to unusual sites, even after 10 years. Gallbladder @entity3 are extremely rare, being found in approximately 0.6% of cases, at autopsy. CASE PRESENTATION: A 51-year-old @entity1 with a history of right @entity1358 underwent total nephrectomy with extended lymphadenectomy, in another Hospital. Three years later, he was hospitalized at our Hospital, with gallbladder @entity3 detected during a follow-up CT scan. At clinical examination, the @entity1 did not present any symptoms or signs of @entity1085 . Several imaging tests were performed to better characterize the lesion. A successful cholecystectomy and hepatic resection of 4b segment were performed, obtaining a R0 resection. The clinical course was uneventful, without any complications. After a 7-month follow-up, the @entity1 is free from disease. DISCUSSION: A typical @entity3 are those located in a site other than thoracic, skeletal, hepatic, adrenal or encephalic tissue. Cholecystectomy with R0 resection has demonstrated to be the only factor increasing survival, mainly in isolated cases of @entity3 , providing an overall 35-60% survival rate at 5 years. CONCLUSION: In the follow-up of @entity1 with a positive history of @entity1358 specially clear cell subtype, all new finding should be taken into account as possible @entity3 . We ought to consider US and CT-scan behavior of gallbladder metastatic disease in order to orientate our diagnosis. Surgery for metastatic @entity1085 of renal origin seems to be a feasible therapy which is capable of increasing @entity1 ' overall survival.
