Extrapulmonary small cell carcinoma has been reported from multiple si
tes, including the gallbladder, Small cell carcinoma of the gallbladde
r is a very rare tumor, found usually in elderly women and associated
with cholelithiasis. It carries a grave prognosis, metastasizing early
and causing death shortly after diagnosis, Treatment of metastatic di
sease with two different chemotherapeutic regimens has been shown to i
mprove survival, To the best of our knowledge, this tumor has not been
previously reported in a black individual, or in any subject less tha
n 49 yr or more than 79 yr old, We report two cases: one Is the first
black and youngest reported case, The second is the oldest person repo
rted with this rare malignancy, Radiological studies such as ultrasoun
d and CT scan were useful in evaluating tumor spread and follow-up.