Alpay ÇETİN, İbrahim İBİLOĞLU, Ulaş ALABALIK, Ayşe Nur KELEŞ, Gül TÜRKÇÜ

RADYOLOJİK VE PATOLOJİK TANISI KONAN SAFRA KESESİ FİBROMU: OLGU SUNUMU VE LİTERATÜR TARAMASI

Fibromlar, vücudun herhangi bir yerinde özelliklede diz ve parmaklarda görülen, yavaş büyüyen, ağrısız ve sertkitlelerdir. Safra kesesi fibromusı nadir bir tümördür ve literatürde sadece birkaç adet olgu sunumu olarak yeralmaktadır. Biz burada ultrasonografi ve manyetik rezonans kolanjiyografide preoperatif olarak safra kesesipolibi tanısı konan 49 yaşında bir kadın hastayı sunmayı amaçladık. Kolesistektomi spesmeninin makroskopikincelemesinde kese hidropik görünümde olup kesitlerinde boyun kısmında polipoid bir kitle izlendi. Makrosko-bik olarak nodül, kollajenöz stromada oval yuvarlak şekilli hücrelerden oluşuyordu. Stromal hücreler Vimentinile pozitif immünreaktivite gösterdi; Desmin, S-100, SMA ve CD34 negatifti. Lezyonu safra kesesi fibromusıolarak teşhis ettik.

Gallbladder Fibroma Diagnosed With Radiology and Pathology: A Case Report and Literature Review

Fibromas are slowly growing, painless and firm masses which can be seen everywhere in the body, especially in knees and fingers. Gallbladder fibromas are rare tumors and only a few cases are reported in the literature as case reports. In this study we present a 49-year old woman patient who takes gallbladder polyp diagnosis with ultrasonographic and magnetic resonance cholangiographic examination preoperatively. In macroscopic examination of the gallbladder specimen, it had a hydrophic appearance and when gallbladder lumen was opened, a polypoid mass was seen in the neck region. Microscopically a nodule was observed which consisted of oval to round shaped cells in collagenous stroma. Stromal cells showed positive immunoreactivity with vimentin. Desmin, S-100, SMA and CD34 were negative. The lesion was identified as gallbladder fibroma.

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