CASE REPORT |
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Year : 2013 | Volume
: 16
| Issue : 4 | Page : 168-170 |
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Xanthogranulomatous cholecystitis: Report of a case with coexistent adenocarcinoma
Sujata Jetley1, Safia Rana1, Usha Agrawal2, Zeeba S Jairajpuri1
1 Department of Pathology, Hamdard Institute of Medical Sciences and Research, Jamia Hamdard, New Delhi, India 2 National Institute of Pathology, ICMR, Safdurjung Hospital Campus, New Delhi, India
Correspondence Address:
Zeeba S Jairajpuri Department of Pathology, Hamdard Institute of Medical Sciences and Research, Hamdard Nagar, Jamia Hamdard, New Delhi - 110 062 India
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/1118-8561.125569
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Xanthogranulomatous cholecystitis (XGC) is an uncommon benign focal or diffuse destructive inflammatory disease of the gallbladder. Pre-operative and intra-operative diagnosis is difficult and it often mimics a gallbladder carcinoma (GBC). This diagnostic dilemma caused by equivocal imaging studies and intra-operative findings can at times be aggravated by a histological picture which mimics a neoplasm. Apart from occasionally presenting as an infiltrating mass lesion with adjacent organ invasion like a malignant neoplasm, XGC can also infrequently be associated with GBC. Lack of awareness that both XGC and carcinoma can co-exist as well as interpreter's inexperience may lead to a missed diagnosis. We present a case of to illustrate this coexistence and conclude that XGC and carcinoma of the gall bladder may co-exist and present a diagnostic dilemma. We recommend increased awareness of this knowledge among radiologists, surgeons and pathologists to raise its awareness. |
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