Appointment Timing - 8am to 8pm

Benign Gall Bladder Mass (Xanthogranulomatous Cholecystitis) Masquerading as Gall Bladder Cancer

84 year gentleman presented to LPC Mumbai with 2 months history of vague abdominal discomfort and no significant clinical findings. A USG of the abdomen done prior to visit to LPC Mumbai showed gall stones with an infiltrative mass lesion in GB fossa. His work up at LPC Mumbai showed normal CBC, BUN, Creatinine, Liver Function Tests, PT & INR, blood sugars & CA19-9 levels. Triple phase CT scan of abdomen & pelvis, & MRCP with contrast MRI suggested a gall bladder mass with gallstones, normal CBD & IHBR. Mass was slightly invading segment 4b &5 & possibly involving the hepatic flexure of the colon. Pancreas & duodenum was normal. The enhancement pattern of the mass after IV contrast was indicative of a malignancy with a small possibility of xanthogranulomatous cholecystitis (XGC). There was no evidence of biliary obstruction (dilated IHBR CHD or CBD).Right hepatic artery (RHA) & right anterior portal vein (RAPV) was slightly adhered to the mass. CT volumetry of liver showed left lobe volume approximately 35% of standard liver volume (SLV) & right lobe volume approximately 65% of SLV.

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Address: Lilavati Hospital, A-791, Bandra Reclamation Rd, Bandra West, Mumbai, Maharashtra 400050

Timing: Thursday 4pm To 6pm, Saturday 10am To 12pm
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Address: 724, 11th Road, Khar West, Mumbai – 400052

Timing: Tuesday & Friday - 5pm To 7pm
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Address: Somaiya Ayurvihar Behind Everard Nagar, Off, Eastern Express Hwy, Sion East, Mumbai, Maharashtra 400022

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Timing: Wednesday 4pm To 6pm & Saturday 2pm To 4pm
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Address: S 341 Near Collector Office, Gandhi Nagar, Bandra East, Mumbai, Maharashtra 400051

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