We describe herein a case of @entity1418 ( @entity1418 ) of the gallbladder that subsequently metastasized to the ascending colon and later to the stomach. A 70-year-old Japanese @entity1 with a palpable mass in the right upper quadrant of the abdomen was referred to our hospital for investigation and treatment. Laboratory data showed severe @entity491 and elevated serum @entity1261 ( @entity1261 ) concentrations. A laparotomy was performed, and the @entity5 was excised en bloc with the gallbladder and part of the liver bed. Histopathologically, the @entity5 was composed of @entity1418 ( @entity1418 ) components characterized by @entity5 cells, bizarre giant cells, and conventional spindle cells in a storiform growth pattern, as well as a xanthogranulomatous component, including inflammatory cells, foamy histiocytes, and plasma cells. Immunohistochemical study revealed that the @entity5 cells and bizarre giant cells were positive for antibodies against alpha1-antitrypsin and @entity8698 . The final pathologic diagnosis was @entity1418 . The @entity5 cells were diffusely positive for anti- @entity1261 monoclonal antibody, and the inflammatory reaction subsided immediately after @entity5 resection, strongly suggesting that the @entity5 cells produced @entity1261 . This @entity1 is still alive with no signs of recurrence more than 3 years after his primary operation, which to our knowledge is the longest survival period ever reported. Therefore, visceral @entity1418 is manageable in some cases by resecting the primary and isolated metastatic lesions.

Inflammatory XXXX of the gallbladder: report of a case.

@entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity1261 :: ('1440', 'Gene') :: ['G-CSF', 'granulocyte colony-stimulating factor'] @entity1418 :: ('MESH:D051677', 'Disease') :: ['ordinary malignant fibrous histiocytoma', 'IMFH', 'inflammatory malignant fibrous histiocytoma', 'MFH'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'pleomorphic tumor', 'primary tumor'] @entity8698 :: ('12', 'Gene') :: ['alpha1-antichymotrypsin'] @entity491 :: ('MESH:D007964', 'Disease') :: ['leukocytosis']
@entity1418 :: (MESH:D051677,Disease) :: ['malignant fibrous histiocytoma']
