[Rare Tumors 2013; 5:e7] [page 27] An unusual case of isolated,serial metastases of gallbladdercarcinoma involving the chestwall, axilla, breast and lungparenchyma

In the English literature, only 9 cases of ade-nocarcinoma of the gallbladder with cutaneous metastasis have been reported so far. One case of multiple cutaneous metastases along with deposits in the breast tissue has been report-ed. We present a case of incidental metastatic gallbladder carcinoma with no intra-abdominal disease presenting as a series of four isolated cutaneous right chest wall, axillary nodal, breast, and pulmonary metastases following resection and adjuvant chemoradiation for her primary tumor. In spite of the metastatic dis-ease coupled with the aggressive nature of the cancer, this patient reported that her energy level had returned to baseline with a good appetite and a stable weight indicating a good performance status and now is alive at 25 months since diagnosis. Her serially-present-ed, oligometa static diseases were well-con-trolled by concurrent chemoradiotherapy and stereotactic radiation therapy. We report this case study because of its rarity and for the pur-pose of complementing current literature with an additional example of cutaneous metastasis from adenocarcinoma of the gallbladder