Case Report

Biliary Dyskinesia as a Rare Presentation of Metastatic Breast Carcinoma of the Gallbladder: A Case Report

Table 1

Feature of cases with metastases of breast carcinoma to gallbladder.

ReferenceType of breast cancerPresentationDiagnosisTreatmentOutcome

Boari et al.Invasive lobular carcinoma
Invasive ductal carcinoma
RUQ pain, acute cholecystitisRUQ US showed gallbladder mass and stones
Carcinoma confirmed by pathology
Laparoscopic cholecystectomyCured
Zagouri et al. Invasive lobular carcinoma grade II Invasive ductal carcinoma grade IIntermittent RUQ painRUQ US showed stones
Carcinoma confirmed by pathology
Laparoscopic cholecystectomyCured
Shah et al.Not specifiedAltered mental statusRUQ US, CT abdomen, paracentesisExploratory laparotomyExpired POD no. 5
Crawford et al.Infiltrating ductal carcinomaUpper abdominal pain with nausea for 3 weeksSBFT, RUQ US, oral cholecystogramLaparoscopic cholecystectomy converted to openOne year s/p cholecystectomy
Infiltrating lobular carcinomaUpper abdominal postprandial pain for 6 monthsRUQ US, oral cholecystogram, HIDA scan Carcinoma confirmed by pathologyLaparoscopic cholecystectomy converted to openExpired 3 years later from disseminated metastases
Beaver et al.Not specifiedRUQ pain, nausea and vomiting (acute cholecystitis)RUQ US Carcinoma confirmed by pathologyCholecystectomy combined with chemotherapy (5FU, methotrexate, vincristine)Cured
Case reportInvasive lobular carcinoma with foci of DCISNausea and weight loss for 2 monthsHIDA scan showed biliary dyskinesia Carcinoma confirmed by pathologyLaparoscopic cholecystectomyCured