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Gallbladder
Malignant gallbladder tumors
Carcinoma in situ
Reviewer: Hanni Gulwani, M.D. (see Reviewers page)
Revised: 15 February 2013, last major update September 2012
Copyright: (c) 2003-2013, PathologyOutlines.com, Inc.
General
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● Often an incidental finding after cholecystectomy for cholecystitis or cholelithiasis (Arch Pathol Lab Med 2010;134:1621)
● Not associated with tumor related death
Micro description
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● May extend into Rokitansky-Aschoff sinuses resembling invasive carcinoma, but is connected to surface epithelium (Am J Surg Pathol 2004;28:621)
● Mixture of benign and neoplastic epithelium
● Has inspissated bile in long dilated spaces
● Desmoplasia, but no invasion into smooth muscle bundles, no perineurial invasion
● May arise in adenomyomatous hyperplasia
Comparison of CIS with invasive carcinoma
Micro images
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End of Gallbladder > Malignant gallbladder tumors > Carcinoma in situ
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