LIVER & GALLBLADDER - Stones, carcinoma

The specimen shows liver and gallbladder within which is a single large stone. There is an extensive carcinoma of the gallbladder extending into the liver.
This man presented at the age of 76 with deep vein thrombosis and pulmonary embolism. It was noted that his liver was enlarged and that he had enlarged inguinal lymph nodes which on biopsy were shown to contain metastatic tumour; the appearances of the tumour were consistent with an origin from gallbladder. Death occurred from massive pulmonary embolism.