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Metastatic adenocarcinoma is adenocarcinoma (a carcinoma that originates in the glands) that has metastacized (moved). In this case, the condition originates in the gallbladder and then moves on to the liver. This is not a diagnosis that is all that unusual. The "how" here is that when things arose in the gallbladder, the blood (circulatory system) acted as a transport. The liver is a frequent site of metastases, though not normally from the gallbladder. This is not an uncommon epidemiological phenomenon. Good luck with further evaluation and treatment.

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