• Siddinath Gyawali, Biraj Pokhrel, Deepak Sharma, Naveen Chandra Bhatta, Bishnu Prasad Kandel, and Paleswan Joshi Lakhey.
• Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal.
• JNMA J Nepal Med Assoc. 2023 Jan 1; 61 (257): 767976-79.

UnlabelledThe adenosquamous carcinoma of the gallbladder is a rare variant accounting for only 1-4% of all primary gallbladder carcinoma. Regardless of the histological types, all gallbladder carcinomas have silent and rapid progression resulting in delayed diagnosis and poor prognosis. Even with medical and/or surgical interventions, the median survival of patients with adenosquamous carcinoma, one of the histological variants, is less than a year. However, we present a case of adenosquamous carcinoma with an unusually better prognosis. A 70-year-old female patient, after being diagnosed with gallbladder carcinoma was suggested for surgical resection but was lost to follow-up since then. Two years later, the patient presented and was managed with extended cholecystectomy. The slow progression and non-recurrence of the tumour during follow-up for two years after the surgery indicates a better prognosis in this case.Keywordscarcinoma; case reports; cholecystectomy; prognosis.

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