RADYOLOJİK VE PATOLOJİK TANISI KONAN SAFRA KESESİ FİBROMU: OLGU SUNUMU VE LİTERATÜR TARAMASI Gallbladder Fibroma Diagnosed With Radiology and Pathology: A Case Report and Literature Review

Yıl 2019, Cilt: 9 Sayı: 2, 175 - 178, 28.06.2019

İbrahim İbiloğlu Ulaş Alabalık Gül Türkçü Ayşe Nur Keleş Alpay Çetin

Öz

ÖZET

Fibromlar, vücudun herhangi bir yerinde özelliklede diz ve parmaklarda görülen, yavaş büyüyen, ağrısız ve sert

kitlelerdir. Safra kesesi fibromusı nadir bir tümördür ve literatürde sadece birkaç adet olgu sunumu olarak yer

almaktadır. Biz burada ultrasonografi ve manyetik rezonans kolanjiyografide preoperatif olarak safra kesesi

polibi tanısı konan 49 yaşında bir kadın hastayı sunmayı amaçladık. Kolesistektomi spesmeninin makroskopik

incelemesinde kese hidropik görünümde olup kesitlerinde boyun kısmında polipoid bir kitle izlendi. Makroskobik

olarak nodül, kollajenöz stromada oval yuvarlak şekilli hücrelerden oluşuyordu. Stromal hücreler Vimentin

ile pozitif immünreaktivite gösterdi; Desmin, S-100, SMA ve CD34 negatifti. Lezyonu safra kesesi fibromusı

olarak teşhis ettik.

Anahtar kelimeler: Fibrom; Safra kesesi; Ultrasonografi.

ABSTRACT

Fibromas are slowly growing, painless and firm masses which can be seen everywhere in the body, especially

in knees and fingers. Gallbladder fibromas are rare tumors and only a few cases are reported in the literature

as case reports. In this study we present a 49-year old woman patient who takes gallbladder polyp diagnosis

with ultrasonographic and magnetic resonance cholangiographic examination preoperatively. In macroscopic

examination of the gallbladder specimen, it had a hydrophic appearance and when gallbladder lumen

was opened, a polypoid mass was seen in the neck region. Microscopically a nodule was observed which

consisted of oval to round shaped cells in collagenous stroma. Stromal cells showed positive immunoreactivity

with vimentin. Desmin, S-100, SMA and CD34 were negative. The lesion was identified as gallbladder fibroma.

Keywords: Fibroma; Gallbladder; Ultrasonography.

Anahtar Kelimeler

RADYOLOJİK VE PATOLOJİK TANISI KONAN SAFRA KESESİ FİBROMU: OLGU SUNUMU VE LİTERATÜR TARAMASI Gallbladder Fibroma Diagnosed With Radiology and Pathology: A Case Report and Literature Review

Kaynakça

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