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Clin Ultrasound > Volume 9(2); 2024 > Article
Clinical Ultrasound 2024;9(2): 91-95. doi: https://doi.org/10.18525/cu.2024.9.2.91
간농양을 동반한 편평상피형 담낭암의 1예
한슬기1,2, 김태영3, 김문영1,2
1연세대학교 원주의과대학 내과학교실
2연세대학교 원주의과대학 재생의학연구소
3연세대학교 원주의과대학 병리학교실
Keratinizing Squamous Cell Carcinoma of Gallbladder Presenting as Hepatic Abscess
Seul Ki Han1,2, Taeyoung Kim3, Moon Young Kim1,2
1Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea
2Regeneration Medicine Research Center, Yonsei University Wonju College of Medicine, Wonju, Korea
3Department of Pathology, Yonsei University Wonju College of Medicine, Wonju, Korea
Address for Correspondence:  Seul Ki Han ,Tel: +82-33-741-1229, Fax: +82-10-741-0951, Email: lolhsk@yonsei.ac.kr
Received: 28 October 2024; Revised: November 5, 2024   Accepted: 9 November 2024.  Published online: 30 November 2024.
ABSTRACT
Gallbladder tumors are rare but aggressive malignancies, often identified incidentally after cholecystectomy. Adenocarcinoma is the most common phenotype, though squamous cell carcinoma is rare, and it ranged as 1–4% of reported gallbladder cancer. Due to the rarity of the disease, early diagnosis is often challenging. One of the uncommon presentations of gallbladder cancer is hepatic abscess, with few cases reported in the literature. This report presents a rare case of an 82-year-old male referred with hepatic abscess. Multiple pathogens were isolated, indicating a superimposed bacterial infection. Upon further investigation, cytology confirmed the presence of a keratinizing squamous carcinoma of gallbladder cancer. This case presents a rare instance of squamous cell gallbladder carcinoma, which is difficult to diagnose, discovered in an elderly patient who presented with a liver abscess accompanied by bacterial infection. It highlights the challenges in diagnosis and treatment, as well as the poor prognosis associated with the condition.
Keywords: Gallbladder cancer; Squamous cell carcinoma; Liver abscess
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