Gallbladder villous adenoma in a patient with acromegaly: a case report.
Villous adenomas are benign epithelial lesions with malignant potential that can occur in any part of the gastrointestinal tract. We present a case of a middle age woman with acromegaly who was investigated for nonspecific gastrointestinal complaints. Ultrasonography and subsequent endosonography diagnosed a large (4.5 cm), hyperechoic, sessile polyp with numerous pedicles. An open cholecystectomy was performed and revealed a villous adenoma with several foci of carcinoma in situ. Detailed investigations showed no other tumors of the gastrointestinal tract. After five years of follow-up, the patient reports no complaints, and the results of laboratory testing and imaging studies are within the normal range.
Krstic
Miodrag
M
Clinic for Gastroenterology, Clinical Center of Serbia, 2 Koste Todorovica, Belgrade 11000, Serbia. misa@tehnicom.net
Alempijevic
Tamara
T
Stimec
Bojan
B
Micev
Marjan
M
Milicevic
Miroslav
M
Micic
Dragan
D
Jankovic
Goran
G
D000172:Acromegaly; D018253:Adenoma, Villous / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D002763:Cholecystectomy; D019160:Endosonography; D005260:Female; D005706:Gallbladder Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008875:Middle Aged