关键词: 胆囊, 转移性肿瘤, 宫颈癌, 诊断, 治疗

Abstract: The gallbladder is extremely rare involved by metastatic carcinoma from other organs. To our knowledge, there is no case of matastasis to gallbladder from cervical carcinoma being reported and no systemic diagnosis and treatment standards. A 49-year-old woman presented pain in her upper abdomen for more than 20 days with a previous history of radical hysterectomy. A computed tomography（CT） scan of upper abdomen revealed an acute cholecystitis. Laparoscopic exploration was performed,swollen lymph nodes in portal area were seen during the operation. A lymph node metastasis was suggested by rapid frozen section examination. Radical resection of gallbladder caner was performed and the final pathological examination showed the metastatic cervical squamous carcinoma to the gallbladder. The patient was treated with hyperthermic intraperitoneal chemotherapy（HIPEC）effectively. In conlusion, the diagnosis of metastatic gallbladder malignant tumor is difficult without systematic diagnosis and treatment standards. For patients with cholecystitis with a history of previous malignant tumors and poor response to long-term conservative treatment, clinicians need to pay more attention to avoid missed diagnosis and misdiagnosis.

Key words: gallbladder, metastatic carcinoma, cervical carcinoma, diagnosis, treatment