Cutaneous Metastases of Gallbladder Adenocarcinoma Following Percutaneous Cholecystostomy Tube

Kathryn  Cavallo; Corbin  Morris; Jonathan M.  Hernandez

doi:10.64292/hpbci.217

Authors

Kathryn Cavallo National Cancer Institute at the National Institutes of Health, Bethesda, MD, United States; George Washington University, School of Medicine and Health Sciences, Washington, DC, United States https://orcid.org/0000-0001-9903-6684
Corbin Morris National Cancer Institute at the National Institutes of Health, Bethesda, MD, United States; Penn State Health, Hershey, PA, United States https://orcid.org/0000-0002-2650-6005
Jonathan M. Hernandez National Cancer Institute at the National Institutes of Health, Bethesda, MD, United States https://orcid.org/0000-0001-7529-0557

DOI:

https://doi.org/10.64292/hpbci.217

Keywords:

Gallbladder carcinoma, skin metastases, percutaneous cholecystostomy tube, cholecystitis, cholecystectomy

Abstract

Gallbladder carcinoma is a rare malignancy with a poor prognosis and is frequently metastatic at the time of diagnosis. Port-site or incisional metastases are relatively well documented and are a known risk when removing specimens, especially in the setting of incidentally identified gallbladder malignancy. Skin metastasis from percutaneous cholecystostomy tube placement has not been well documented in the literature to date. Here, we report a case of an elderly patient with acute cholecystitis who received a percutaneous cholecystostomy tube and was found to have gallbladder adenocarcinoma following interval cholecystectomy. Postoperatively, he developed a raised lesion at the site of his percutaneous cholecystostomy tube, which was biopsied and found to be adenocarcinoma.

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