title: Gall bladder Adenocarcinoma in a Young Girl.
abstract: A 16-year-old girl presented with abdominal discomfort, weakness, and jaundice. General examination revealed deep icterus with hard lymph nodes in left supraclavicular region. On gastrointestinal examination, we appreciated a hard intra-abdominal lump in the right hypochondrium. Biochemical evaluation showed features of obstructive jaundice. Imaging confirmed the presence of gall bladder lump with multiple intra-abdominal lymph nodes. Fine needle aspiration cytology of neck nodes demonstrated metastatic adenocarcinoma. Fine needle aspiration cytology of the gall bladder lump (done under sonographic guidance) confirmed poorly differentiated adenocarcinoma. To the best of our knowledge, malignancy of the gall bladder has not been reported in individuals less than 18 years in India, and only three cases have been reported worldwide in English literature.
authors.affiliation: Department of General Surgery, Jawaharlal Nehru Hospital and Research Centre, Room1, RHO Hostel, JLNHRC, Sector 9, Bhilai, Chattisgarh 490006 India.
authors.forename: Shivprasad V
authors.initials: SV
authors.lastname: Date
authors.affiliation: Department of General Surgery, Jawaharlal Nehru Hospital and Research Centre, Room1, RHO Hostel, JLNHRC, Sector 9, Bhilai, Chattisgarh 490006 India.
authors.forename: S J
authors.initials: SJ
authors.lastname: Rizvi
keywords: Adenocarcinoma; Children; Gall bladder; India