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Mucinous Adenocarcinoma of Gall Bladder: A Rare Case Report

Amrita Anand and Kiran Agarwal

Gall bladder (GB) carcinoma is the fifth most common malignancy of gastrointestinal tract. Mucinous carcinoma (MC) of gall bladder is a very rare variant of gall bladder carcinoma. To the best of our knowledge, only 20 cases of mucinous carcinomas have been reported till date. We report a case of 42-year-old female patient who presented with complaint of pain in right hypochondrium region, nausea and vomiting since three years which had progressively increased in the past one month. Ultrasound (USG) examination revealed thickening of gall bladder neck and presence of multiple gall stones. CECT abdomen revealed an asymmetrical wall thickening of GB at the neck region, with infiltration into the liver. Cholecystectomy specimen showed glistening grey white thickness at the neck of gall bladder. Microscopic examination showed mucinous adenocarcinoma. Tumor comprised of cystically dilated mucin filled glands and was seen infiltrating into the Liver and Lymph nodes.