Skeletal Metastasis From Carcinoma of the Gall Bladder: Need for Bone Scintigraphy Justified?
نویسندگان
چکیده
BACKGROUND Carcinoma of the gall bladder has a guarded prognosis with predominant sites of involvement being liver and regional nodes. Osseous metastasis in carcinoma of the gall bladder is rare and hence bone scintigraphy does not form a part of the routine work-up for such patients. CASE REPORTS We describe two patients with carcinoma of the gall bladder with osteolytic metastasis (stage 4). Conservative treatment was planned but both of them succumbed to the illness. CONCLUSIONS We thus highlight the importance of performing a bone scan or PET CT in cases of carcinoma of the gall bladder. Besides, our cases challenge Paget's seed - soil theory for sites of metastasis.
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Solitary Osteolytic Skull Metastasis in a Case of Unknown Primary Being latter Diagnosed as Carcinoma of Gall Bladder
Disseminated blood borne metastases from carcinoma of the gall bladder are uncommon and occur late in the course of the disease. Of all the distant sites that can be involved by the metastatic disease, the skeletal system is the least commonly involved. Skeletal metastasis in a case of carcinoma gall bladder is rare to find and when it is associated with solitary skull metastasis it is even rar...
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