The Open Surgical Oncology Journal

2009, 1 : 10-11
Published online 2009 August 28. DOI: 10.2174/1876504100901010010
Publisher ID: TOSOJ-1-10

Isolated Scapular Metastasis in a Patient with Gallbladder Carcinoma: Case Report

Mukund Kulkarni , Vijay Ramachandran , Nihar Ranjan Dash , Sujoy Pal , Peush Sahni and Tushar Kanti Chattopadhyay
HPB Service, Department of General Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, 308433, Singapore

ABSTRACT

Carcinoma of the gallbladder is considered a disease with grim prognosis owing to frequent locoregional recurrence despite surgery and poor disease specific and overall survival. It can spread directly, transperitoneally as well as via lymphatics, vessels and nerves. Distant spread to almost every organ is described and indicates a very late stage in the course of disease. Hence, evaluation for distant spread is not routinely considered if the disease is confined to locoregional area. We report a case of apparently locally confined Carcinoma gallbladder which manifested with osseous metastasis.

Keywords:

Carcinoma gallbladder, skeletal metastasis, scapula, adenocarcinoma, Tc 99m labelled scan.