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Gastrointestinal
Diagnosis
Biliary System
Malignant Neoplasms
Biliary Metastases and Lymphoma
Biliary Metastases and Lymphoma
Siva P. Raman, MD
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KEY FACTS

  • Imaging

    • Pathology

      TERMINOLOGY

      • Definitions

        • Tumoral involvement of gallbladder (GB) or biliary tree by metastatic disease or lymphoma

      IMAGING

      • General Features

        • Imaging Recommendations

          • Radiographic Findings

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Staging, Grading, & Classification

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Granata V et al: Uncommon neoplasms of the biliary tract: radiological findings. Br J Radiol. 90(1078):20160561, 2017
                                        2. Khan A et al: Metastatic melanoma of the gallbladder in an asymptomatic patient. Case Rep Gastrointest Med. 2017:1767418, 2017
                                        3. Choi WS et al: CT findings of gallbladder metastases: emphasis on differences according to primary tumors. Korean J Radiol. 15(3):334-45, 2014
                                        4. Katabathina VS et al: Adult bile duct strictures: role of MR imaging and MR cholangiopancreatography in characterization. Radiographics. 34(3):565-86, 2014
                                        5. Revzin MV et al: The gallbladder: uncommon gallbladder conditions and unusual presentations of the common gallbladder pathological processes. Abdom Imaging. 40(2):385-99, 2014
                                        6. McWhirter D et al: Renal cell carcinoma metastases to gallbladder. Ann R Coll Surg Engl. 95(8):e136-8, 2013
                                        7. Haskaraca MF et al: Primary malignant melanoma of the gallbladder: a case report and review of the literature. Case Rep Surg. 2012:693547, 2012
                                        8. Barretta ML et al: Gallbladder metastasis: spectrum of imaging findings. Abdom Imaging. 36(6):729-34, 2011
                                        9. Martel JP et al: Melanoma of the gallbladder. Radiographics. 29(1):291-6, 2009
                                        10. Ono A et al: Primary malignant lymphoma of the gallbladder: a case report and literature review. Br J Radiol. 82(973):e15-9, 2009
                                        11. Kato H et al: Primary non-Hodgkin's lymphoma of the gallbladder diagnosed by laparoscopic cholecystectomy. J Hepatobiliary Pancreat Surg. 15(6):659-63, 2008
                                        12. Samplaski MK et al: Malignant melanoma of the gallbladder: a report of two cases and review of the literature. J Gastrointest Surg. 12(6):1123-6, 2008
                                        13. Elsayes KM et al: Magnetic resonance imaging of the gallbladder: spectrum of abnormalities. Acta Radiol. 48(5):476-82, 2007
                                        14. Katz SC et al: Surgical management of melanoma of the gallbladder: a report of 13 cases and review of the literature. Am J Surg. 193(4):493-7, 2007
                                        15. Marone U et al: Laparoscopic cholecystectomy for melanoma metastatic to the gallbladder: is it an adequate surgical procedure? Report of a case and review of the literature. World J Surg Oncol. 5:141, 2007
                                        16. Nelms JK et al: Metastatic malignant melanoma of the gallbladder presenting as biliary colic: a case report and review of literature. Am Surg. 73(8):833-5, 2007
                                        17. Takayama Y et al: Metastatic melanoma of the gallbladder. Comput Med Imaging Graph. 31(6):469-71, 2007
                                        18. Doval DC et al: Breast carcinoma with metastasis to the gallbladder: an unusual case report with a short review of literature. Hepatobiliary Pancreat Dis Int. 5(2):305-7, 2006
                                        19. Rea DJ et al: Image of the month. Malignant melanoma of the gallbladder (primary vs secondary). Arch Surg. 139(12):1383-4, 2004
                                        20. Grasso RF et al: Malignant metastatic melanoma of common bile duct: virtual CT cholangioscopy findings. Hepatogastroenterology. 50(53):1333-5, 2003
                                        21. Limani K et al: Metastatic carcinoma of the gallbladder after a renal cell carcinoma. Acta Chir Belg. 103(2):233-4, 2003
                                        22. Medina V et al: Primary biliary tract malignant melanoma: US, CT, and MR findings. Abdom Imaging. 28(6):842-6, 2003
                                        23. Kleinschmidt-DeMasters BK: Dural metastases. A retrospective surgical and autopsy series. Arch Pathol Lab Med. 125(7):880-7, 2001
                                        24. Cellerino P et al: Metastatic melanoma of the gallbladder. Eur J Surg Oncol. 26(8):815-6, 2000
                                        25. De Simone P et al: Gallbladder melanoma mimicking acute acalculous cholecystitis. Surg Endosc. 14(6):593, 2000
                                        26. Garas G et al: Malignant melanoma metastatic to the common bile duct. J Gastroenterol Hepatol. 15(11):1348-51, 2000
                                        27. Dong XD et al: Melanoma of the gallbladder: a review of cases seen at Duke University Medical Center. Cancer. 85(1):32-9, 1999
                                        28. Holloway BJ et al: Ultrasound diagnosis of metastatic melanoma of the gallbladder. Br J Radiol. 70(839):1122-5, 1997
                                        29. Gates J et al: Primary biliary tract malignant melanoma. Abdom Imaging. 21(5):453-5, 1996
                                        30. Friedman EP et al: Primary lymphoma of the gallbladder. Postgrad Med J. 69(813):585-7, 1993
                                        31. Tartar VM et al: Lymphoma in the wall of the bile ducts: radiologic imaging. Gastrointest Radiol. 15(1):53-7, 1990
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Imaging

                                          • Pathology

                                            TERMINOLOGY

                                            • Definitions

                                              • Tumoral involvement of gallbladder (GB) or biliary tree by metastatic disease or lymphoma

                                            IMAGING

                                            • General Features

                                              • Imaging Recommendations

                                                • Radiographic Findings

                                                  • CT Findings

                                                    • MR Findings

                                                      • Ultrasonographic Findings

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Staging, Grading, & Classification

                                                              • Gross Pathologic & Surgical Features

                                                                • Microscopic Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Granata V et al: Uncommon neoplasms of the biliary tract: radiological findings. Br J Radiol. 90(1078):20160561, 2017
                                                                              2. Khan A et al: Metastatic melanoma of the gallbladder in an asymptomatic patient. Case Rep Gastrointest Med. 2017:1767418, 2017
                                                                              3. Choi WS et al: CT findings of gallbladder metastases: emphasis on differences according to primary tumors. Korean J Radiol. 15(3):334-45, 2014
                                                                              4. Katabathina VS et al: Adult bile duct strictures: role of MR imaging and MR cholangiopancreatography in characterization. Radiographics. 34(3):565-86, 2014
                                                                              5. Revzin MV et al: The gallbladder: uncommon gallbladder conditions and unusual presentations of the common gallbladder pathological processes. Abdom Imaging. 40(2):385-99, 2014
                                                                              6. McWhirter D et al: Renal cell carcinoma metastases to gallbladder. Ann R Coll Surg Engl. 95(8):e136-8, 2013
                                                                              7. Haskaraca MF et al: Primary malignant melanoma of the gallbladder: a case report and review of the literature. Case Rep Surg. 2012:693547, 2012
                                                                              8. Barretta ML et al: Gallbladder metastasis: spectrum of imaging findings. Abdom Imaging. 36(6):729-34, 2011
                                                                              9. Martel JP et al: Melanoma of the gallbladder. Radiographics. 29(1):291-6, 2009
                                                                              10. Ono A et al: Primary malignant lymphoma of the gallbladder: a case report and literature review. Br J Radiol. 82(973):e15-9, 2009
                                                                              11. Kato H et al: Primary non-Hodgkin's lymphoma of the gallbladder diagnosed by laparoscopic cholecystectomy. J Hepatobiliary Pancreat Surg. 15(6):659-63, 2008
                                                                              12. Samplaski MK et al: Malignant melanoma of the gallbladder: a report of two cases and review of the literature. J Gastrointest Surg. 12(6):1123-6, 2008
                                                                              13. Elsayes KM et al: Magnetic resonance imaging of the gallbladder: spectrum of abnormalities. Acta Radiol. 48(5):476-82, 2007
                                                                              14. Katz SC et al: Surgical management of melanoma of the gallbladder: a report of 13 cases and review of the literature. Am J Surg. 193(4):493-7, 2007
                                                                              15. Marone U et al: Laparoscopic cholecystectomy for melanoma metastatic to the gallbladder: is it an adequate surgical procedure? Report of a case and review of the literature. World J Surg Oncol. 5:141, 2007
                                                                              16. Nelms JK et al: Metastatic malignant melanoma of the gallbladder presenting as biliary colic: a case report and review of literature. Am Surg. 73(8):833-5, 2007
                                                                              17. Takayama Y et al: Metastatic melanoma of the gallbladder. Comput Med Imaging Graph. 31(6):469-71, 2007
                                                                              18. Doval DC et al: Breast carcinoma with metastasis to the gallbladder: an unusual case report with a short review of literature. Hepatobiliary Pancreat Dis Int. 5(2):305-7, 2006
                                                                              19. Rea DJ et al: Image of the month. Malignant melanoma of the gallbladder (primary vs secondary). Arch Surg. 139(12):1383-4, 2004
                                                                              20. Grasso RF et al: Malignant metastatic melanoma of common bile duct: virtual CT cholangioscopy findings. Hepatogastroenterology. 50(53):1333-5, 2003
                                                                              21. Limani K et al: Metastatic carcinoma of the gallbladder after a renal cell carcinoma. Acta Chir Belg. 103(2):233-4, 2003
                                                                              22. Medina V et al: Primary biliary tract malignant melanoma: US, CT, and MR findings. Abdom Imaging. 28(6):842-6, 2003
                                                                              23. Kleinschmidt-DeMasters BK: Dural metastases. A retrospective surgical and autopsy series. Arch Pathol Lab Med. 125(7):880-7, 2001
                                                                              24. Cellerino P et al: Metastatic melanoma of the gallbladder. Eur J Surg Oncol. 26(8):815-6, 2000
                                                                              25. De Simone P et al: Gallbladder melanoma mimicking acute acalculous cholecystitis. Surg Endosc. 14(6):593, 2000
                                                                              26. Garas G et al: Malignant melanoma metastatic to the common bile duct. J Gastroenterol Hepatol. 15(11):1348-51, 2000
                                                                              27. Dong XD et al: Melanoma of the gallbladder: a review of cases seen at Duke University Medical Center. Cancer. 85(1):32-9, 1999
                                                                              28. Holloway BJ et al: Ultrasound diagnosis of metastatic melanoma of the gallbladder. Br J Radiol. 70(839):1122-5, 1997
                                                                              29. Gates J et al: Primary biliary tract malignant melanoma. Abdom Imaging. 21(5):453-5, 1996
                                                                              30. Friedman EP et al: Primary lymphoma of the gallbladder. Postgrad Med J. 69(813):585-7, 1993
                                                                              31. Tartar VM et al: Lymphoma in the wall of the bile ducts: radiologic imaging. Gastrointest Radiol. 15(1):53-7, 1990