Advanced gallbladder cancer accompanied with cancer-associated dermatomyositis: A case report and literature review

Autor: Haruka Kuroda, Atsushi Yamaguchi, Shuhei Sugata, Takuro Hamada, Riho Moriuchi, Kaoru Wada, Yuzuru Tamaru, Ryusaku Kusunoki, Toshio Kuwai, Hirotaka Kouno, Takashi Kurashige, Tsuyoshi Torii, Akihisa Saito, Kazuya Kuraoka, Hiroshi Kohno
Rok vydání: 2022
Předmět:
Zdroj: Medicine. 101(27)
ISSN: 1536-5964
Popis: Muscle weakness due to cancer-associated dermatomyositis (CADM) can be misdiagnosed as cancer cachexia and disuse atrophy.A 75-year-old female was admitted to our institute with muscle weakness, dysphagia, and suspected gallbladder cancer. Computed tomography and cytopathological examinations of the liver biopsy and fine-needle aspiration from swollen lymph nodes using endoscopic ultrasonography revealed cancer in the gallbladder body and metastasis to the lymph nodes around the abdominal aorta. We avoided the administration of anticancer drugs due to her poor general condition.Subsequently, we diagnosed her with muscle weakness and dysphagia as a result of CADM using species from muscle and skin biopsy.Prednisolone therapy and anticancer agents partially improved the patient symptoms.CADM is reported to be associated with a high incidence of dysphagia, which may aid in the diagnosis of this disease.
Databáze: OpenAIRE