Unicryptal gallbladder adenomas in a patient with Gardner's syndrome

Pathol Res Pract. 2013 Aug;209(8):527-9. doi: 10.1016/j.prp.2013.05.001. Epub 2013 May 25.

Abstract

Gardner's syndrome occurs when mutation of the adenomatous polyposis coli gene is associated with extra-intestinal manifestations in addition to colorectal adenomas. Only eleven cases of gallbladder adenoma in Gardner's syndrome have been previously reported in the literature. We report a case of Gardner's syndrome in which multiple adenomas are associated with unicryptal adenomas. The lesion showed cytoplasmic and nuclear expression of β-catenin. The identification of multiple fully formed and unicryptal adenomas in the gallbladder are suggestive of Gardner's syndrome, and these patients require further investigation and follow up.

Keywords: Adenoma; Familial adenomatous polyposis; Gallbladder; Gardner's syndrome; Unicryptal.

Publication types

  • Case Reports

MeSH terms

  • Adenoma / chemistry
  • Adenoma / genetics
  • Adenoma / pathology*
  • Adenoma / surgery
  • Aged
  • Biomarkers, Tumor / analysis
  • Biomarkers, Tumor / genetics
  • Biopsy
  • Gallbladder Neoplasms / chemistry
  • Gallbladder Neoplasms / genetics
  • Gallbladder Neoplasms / pathology*
  • Gallbladder Neoplasms / surgery
  • Gardner Syndrome / genetics
  • Gardner Syndrome / pathology*
  • Genes, APC
  • Genetic Predisposition to Disease
  • Humans
  • Immunohistochemistry
  • Male
  • Mutation
  • Phenotype
  • beta Catenin / analysis

Substances

  • Biomarkers, Tumor
  • CTNNB1 protein, human
  • beta Catenin