SAFRA KESESİNİN PRİMER MÜSİNÖZ KİSTİK NEOPLAZMI: NADİR BİR VAKA

Öz

Safra kesesinden kaynaklanan kistik lezyonlar çok nadirdir. Hepato- bilier sisteminin müsinöz kistik neoplazileri esas olarak karaciğerde meydana gelir ve bunu ekstrahepatik biliyer sistem izler. Primer olarak safra kesesi tutulumu olan sadece birkaç vaka raporu bildirilmiştir. Karın sağ üst tarafta yemek sonrası artan karın ağrısı ve dispepsi şikayetleri olan 63 yaşında kadın hasta hastanemize başvurdu. Laparoskopik kolesistektomi yapıldı. Makroskopik olarak kist fundusun serozasında lokalize edildi ve immünohistokimyasal inceleme neticesine göre safra kesesinin primer müsinöz kistik neoplazisi olarak değerlendirildi. Her ne kadar çok nadir görülse de, safra kesesinin kistik lezyonlarında musinöz kistik neoplaziler mutlaka akılda tutulmalıdır. Böyle hastalarda malign transformasyon ve özellikle daha büyük kistlerde safra kanalı tıkanıklığı gibi riskler nedeniyle kolesistektomi yapılması zorunludur.

Anahtar Kelimeler

• Kolesistektomi
• safra kesesi
• müsinöz kistik neoplazi

A RARE CASE: PRIMARY MUCINOUS CYSTIC NEOPLASM OF THE GALLBLADDER

Öz

Cystic lesions originating from the gallbladder are very rare. Mucinous cystic neoplasms of the liver and biliary system principally occur in the liver, followed by the extrahepatic biliary system. Only a few case reports were reported primarily in the gallbladder. A 63-year-old woman was admitted to our hospital with complaints of pain in the right upper abdomen, increasing after meals, and abdominal discomfort. A laparoscopic cholecystectomy was performed. Macroscopically, the cyst was localized in the serosa of the fundus. Based on immunohistochemical examination, the cyst was diagnosed as primary mucinous cystic neoplasia of the gallbladder. Although it is very rare, mucinous cystic neoplasia should be kept in mind when dealing with cystic lesions of the gallbladder. Due to serious associated problems such as the risk of malignant transformation or bile duct obstruction, particularly in larger cysts, a cholecystectomy is mandatory.

Anahtar Kelimeler

• Cholecystectomy
• gallbladder
• mucinous cystic neoplasia

Kaynakça

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