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Paola Caprino, MD; Marco Pericoli Ridolfini, MD; Stefano Berardi, MD; Luigi Sofo, MD; Domenico D’Ugo, MD

Arch Surg. 2009;144(8):783.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

A man aged 57 years was admitted to our department for a left cervical and submandibular nodal mass and continuous abdominal pain on his right side. The patient had a medical history of type 2 diabetes mellitus and B-cell chronic lymphocytic leukemia (B-CLL) diagnosed 4 years earlier (stage II according to Rai et al¹; stage C according to Binet et al²). The patient was previously unsuccessfully treated with many cycles of intravenous chemotherapy (chlorambucil plus prednisone and fludarabine) and human monoclonal antibodies (anti-CD52 MAbCampath; Bayer HealthCare Pharmaceuticals, Leverkusen, Germany) for CLL. A restaging computed tomographic total body scan showed a new suspicious mass arising from the thickened posterior wall of the gallbladder. The lesion was solid, homogeneous, poorly enhanced, and had a large base that adhered to the liver bed (Figure . . . [Full Text of this Article]

What Is the Diagnosis?

Author Affiliations: Department of Oncology, Surgical Oncology Unit, Catholic University, Campobasso, Italy.

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