PMC4163176_01
Intraoperative picture showing a nodule in the gallbladder wall
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F0001
The nodule was perceptible and palpable on the gallbladder wall (Figure 1) , without gross involvement of the liver or regional lymph nodes, examination of the abdominal cavity showed no signs of peritoneal metastases.
Gallbladder after resection with a nodule in the wall
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F0002
On gross examination, the Gallbladder was thickened, with a 1. 5 cm palpable mass (Figure 2, Figure 3, Figure 4).
Gallbladder metastasis
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F0003
On gross examination, the Gallbladder was thickened, with a 1. 5 cm palpable mass (Figure 2, Figure 3, Figure 4).
Linear or single-cell file ("Indian-file") pattern of infiltration is characteristic of lobular carcinoma (HEx40)
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F0004
On gross examination, the Gallbladder was thickened, with a 1. 5 cm palpable mass (Figure 2, Figure 3, Figure 4).
Invasion of the muscularis propria of the gallbladder by metastatic lobular carcinoma of the breast
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F0005
The gallbladder wall was infiltrated (muscular layer and adventitia) by lobular breast carcinoma, hormone receptors were positive (Figure 5, Figure 6, Figure 7).
Metastatic lobular breast carcinoma (bottom left) Infiltrating the gallbladder wall (top right) : ( HEx20)
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F0006
The gallbladder wall was infiltrated (muscular layer and adventitia) by lobular breast carcinoma, hormone receptors were positive (Figure 5, Figure 6, Figure 7).
Estrogen positive cells in gallbladder wall on immunohistochemical staining
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F0007
The gallbladder wall was infiltrated (muscular layer and adventitia) by lobular breast carcinoma, hormone receptors were positive (Figure 5, Figure 6, Figure 7).