ON YEDİ YAŞINDAKİ BİR HASTADA SAFRA KESESİ KANSERİ OLGUSU: TANISAL ZORLUKLAR VE CERRAHİ TEDAVİ

Öz

Safra kesesi kanseri, genellikle tesadüfen veya ileri evrede teşhis edilen, kötü prognozlu nadir ve agresif bir malignitedir. Bu olgu sunumunda, 17 yaşında bir erkek hastada nadir görülen bir safra kesesi kanseri olgusu sunulmaktadır. Yaygın karın ağrısı, lökositoz ve karaciğer enzimlerinde hafif artış sebebiyle başvurmuştu. İlk yapılan görüntülemede safra kesesinde taş görülmedi ancak daha sonraki ultrasonografide safra kesesinde intraluminal hiperekoik bir lezyon saptandı. Laparoskopik kolesistektomi uygulanan hastada patolojik incelemede lenfovasküler veya perinöral invazyon göstermeyen iyi farklılaşmış adenokarsinom saptandı. Takipte herhangi bir komplikasyon görülmedi. Bu olgu sunumunda, genç yaş grubunda en yaygın etiyolojileri dışladıktan sonra safra kesesi kanserini ayırıcı tanı olarak düşünmenin önemini vurguluyoruz.

Anahtar Kelimeler

• Safra kesesi kanseri
• kanser
• genç yaş

A CASE REPORT OF GALLBLADDER CANCER IN A 17-YEAR OLD PATIENT: DIAGNOSTIC CHALLENGES AND SURGICAL MANAGEMENT

Öz

Gallbladder cancer is a rare and aggressive malignancy with a poor prognosis, often diagnosed incidentally or at an advanced stage. This case study demonstrates an uncommon clinical entity of Gallbladder cancer in a 17-year-old male. The patient was presented with generalised abdominal pain and leukocytosis and mildly elevated liver enzymes. Initial imaging showed no gallstones; however, subsequent ultrasonography revealed an intraluminal hyperechoic lesion in the gallbladder. Laparoscopic cholecystectomy and biopsy confirmed well-differentiated adenocarcinoma without lymphovascular or perineural invasion. On follow-up, no complication was reported. In this case report, we highlight the importance of considering Gallbladder cancera differential diagnosis after excluding the most common aetiologies at the young age group.

Anahtar Kelimeler

• Gallbladder cancer
• cancer
• young age

Kaynakça

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