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An imperial affliction free download xbox an imperial affliction pdf, imperial affliction, imperial affliction peter van houten free online books, An imperial affliction, imperial affliction peter van houten free download, An imperial affliction, imperial affliction peter van houten pdf.Primary carcinoma of the gallbladder with early metastasis to the liver.
A 73-year-old Japanese woman was admitted to our hospital with symptoms of acute cholecystitis and was found to have a carcinoma of the gallbladder invading the common bile duct. She underwent a biliary bypass and a partial cholecystectomy. A hepatic metastasis of the carcinoma developed on day 11 and was resected. The patient died on day 36. Eighteen cases of carcinoma of the gallbladder are reported in the literature, of which seven cases were treated surgically. This is the eighth such case treated with curative intent. It appears that the clinical course of the disease is poor in these cases, but gallbladder carcinoma with liver metastasis is a rare lesion and is easily overlooked at initial presentation. Therefore, early diagnosis and treatment of gallbladder carcinoma is very important to improve the outcome.