Small Cell Carcinoma of the Gallbladder: Case Report and Comprehensive Analysis of Published Cases

Journal of Oncology
Carolyn CarreraOsama E Rahma

Abstract

Background. Gallbladder small cell carcinoma is a rare and highly aggressive malignancy with no established standard of care treatment. We described here a case report of small cell gallbladder cancer and we then performed a comprehensive review of 72 case reports of this disease. Methods. Published case reports of small cell carcinoma of the gallbladder between 1983 and 2014 were reviewed. Treatment modalities and survival were analyzed for metastatic and localized disease. Results. Median overall survival for all patients was 13 months. Metastatic disease was identified in 72% of cases. Treatment of metastatic disease with chemotherapy showed a significant survival benefit (p < 0.001) compared to no chemotherapy, and the use of platinum doublet with etoposide showed a nonsignificant 4-month improvement in survival compared to other chemotherapy regimens (p = 0.13). Adjuvant therapy did not demonstrate an improvement of median overall survival in local disease (p = 0.78). Conclusion. Given the limited available data, systemic therapy with platinum and etoposide should be considered for patients with metastatic small cell carcinoma of the gallbladder. Adjuvant chemoradiation or chemotherapy for treatment of local disease warran...Continue Reading

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Citations

Mar 20, 2018·World Journal of Surgical Oncology·Shuichi TonomuraNobuyuki Takahashi
Mar 2, 2019·CytoJournal·Rajesh KumarUjjwal Gorsi
Oct 5, 2020·ANZ Journal of Surgery·Ying Yang TingLi-Lian Kuan
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Sep 29, 2019·GE Portuguese Journal of Gastroenterology·João FragaMaria Augusta Cipriano

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Methods Mentioned

BETA
surgical resection

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