Granulocyte Colony-Stimulating Factor-Producing Gallbladder Cancer

Acta Med Okayama. 2016 Oct;70(5):393-396. doi: 10.18926/AMO/54599.

Abstract

We report a case of a granulocyte colony-stimulating factor (G-CSF)-producing gallbladder tumor associated with fever in a middle-aged female. Preoperative blood analysis showed leukocytosis with elevated levels of C-reactive protein and G-CSF. We resected the liver at S4a+S5, with regional lymph node dissection and partial resection of the duodenum. Histology revealed undifferentiated carcinoma with spindle and giant cells and papillary adenocarcinoma. Immunohistochemistry revealed Stage IIIB G-CSF-producing gallbladder cancer. Postoperatively, leukocyte and serum G-CSF levels decreased to within normal limits. Adjuvant gemcitabine chemotherapy was administered for 16 months, and she has been recurrence-free for 48 months.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma, Papillary / metabolism
  • Adenocarcinoma, Papillary / pathology
  • Adenocarcinoma, Papillary / surgery
  • Antimetabolites, Antineoplastic / therapeutic use
  • Carcinoma / metabolism*
  • Carcinoma / pathology
  • Carcinoma / surgery
  • Chemotherapy, Adjuvant
  • Deoxycytidine / analogs & derivatives
  • Deoxycytidine / therapeutic use
  • Female
  • Gallbladder Neoplasms / metabolism*
  • Gallbladder Neoplasms / pathology
  • Gallbladder Neoplasms / surgery
  • Gemcitabine
  • Granulocyte Colony-Stimulating Factor / metabolism*
  • Humans
  • Middle Aged

Substances

  • Antimetabolites, Antineoplastic
  • Deoxycytidine
  • Granulocyte Colony-Stimulating Factor
  • Gemcitabine