Bone metastases as the initial presentation of carcinoma of gall bladder: a rarity

The Indian Journal of Surgery
Gaurav JainKailash Patel


Distant metastases are rare form of presentation of carcinoma gall bladder. Bony pain as initial presentation is quite unusual. A 50-year-old woman presented with the pain in right shoulder. Investigation showed metastatic adenocarcinoma in the head of humerus and the primary was found in the gall bladder. She received local radiotherapy for bone metastases and undergoing systemic chemotherapy. Carcinoma gall bladder is a common abdominal malignancy, mostly presenting in advanced stage with abdominal symptoms and obstructive jaundice. In presence of metastasis, the management is palliative and role of chemotherapy is limited for palliation symptoms.


Mar 1, 1981·The British Journal of Surgery·J KooG B Ong
Jan 16, 1998·Journal of Gastroenterology·M SuganumaM Kuroda
Jan 25, 2002·The British Journal of Radiology·A MisraP K Srivastava
Jul 1, 1962·Annals of Surgery·R B FAHIMD O FERRIS
Mar 31, 2010·The Indian Journal of Radiology & Imaging·Jayesh V DhabaliaVikash Kumar

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Sep 21, 2013·Indian Journal of Palliative Care·Mohit K JoshiSunil Kumar
Dec 3, 2013·International Journal of Surgery Case Reports·Mallikarjun GunjiganviTh Bipin
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