The biliary tract is an unusual site of metastasis from breast carcinoma, and this has rarely been reported in the literature. We report the case of a 42-year-old woman diagnosed with invasive lobular carcinoma of the breast who underwent laparoscopic cholecystectomy for an incidental finding of gallbladder wall thickening on ultrasonography, which was subsequently confirmed to be consistent with metastasis from the breast primary.
Adult ; Biliary Tract ; physiopathology ; Breast Neoplasms ; diagnosis ; diagnostic imaging ; pathology ; Carcinoma, Lobular ; diagnosis ; physiopathology ; Cholecystectomy, Laparoscopic ; methods ; Disease Progression ; Female ; Gallbladder Neoplasms ; diagnosis ; diagnostic imaging ; secondary ; Humans ; Neoplasm Metastasis ; Prognosis ; Treatment Outcome ; Ultrasonography

The current study aimed to determine efficacy of the Acceptance and Commitment Therapy (ACT) for the emotional dysregulation and mental health of visually impaired adolescents. In a quantitative pre-post design, a purposive convenient sample of seven visually impaired adolescents with age range of 18 to 23 was recruited. Difficulties in emotion regulation scale were used to recruit the participants. After baseline assessment participants were subjected to six individual sessions of acceptance and commitment therapy. One week after the completion of intervention phase post test scores were obtained. A paired sample t-test and Reliable Change Index were applied. Results showed that there was significant difference of emotion dysregulation and mental health. Individual analyses were also performed. Tau-u statistics showed that ACT is an effective approach to enhance emotion dysregulation and mental health issues in visually impaired adolescent. The results of the study have important implications for clinical practitioners.