Hepatobiliary Cystadenoma: A Case Report and a Review of the Literature

ArticleinCurrent Surgery 63(4):285-9 · July 2006with6 Reads
DOI: 10.1016/j.cursur.2006.03.001 · Source: PubMed
Abstract
Hepatic cystic lesions are rare; however, their management and treatment is dependent on early recognition and diagnosis. In this report, the authors discuss a 72-year-old woman who presented to their clinic for treatment of a hepatocystadenoma. The history, physical examination, and diagnostic modalities lead to surgical intervention despite an unclear diagnosis. This case illustrates an unusual hepatic lesion in which the diagnosis was not known until the time of laparotomy. However, diagnostic modalities were important in establishing the need for surgical intervention. The authors offer a pertinent review of the literature and discuss current treatment modalities.
    • "Hepatobiliary cystadenomas are rare, benign cystic lesions which usually arise in the liver (80–85%) in the extrahepatic bile ducts and rarely in the gallbladder [3, 4]. Approximately 85–95% of the patients are women typically occurring in the fifth decade of life [5]. "
    [Show abstract] [Hide abstract] ABSTRACT: Hepatobiliary cystadenomas are rare cystic neoplasms that often occur in middle age women, and spontaneous rupture is extremely rare. The exact etiology of these tumors is unknown. Diagnosis is often delayed, while misdiagnosis and inappropriate treatment may result in unfavorable outcome. We report a case of hepatobiliary serous cystadenoma with mesenchymal stroma, initially misdiagnosed as simple hepatic cyst with intracystic hemorrhage. The rapid growth of the giant tumor leads to spontaneous rupture, almost turned into a life-threatening event. After emergency formal liver resection, the patient recovered well without recurrence during the 6-month follow-up period. We also reviewed the literature, proposed possible factors for the tumor's rapid growth, and discuss the current diagnostic and treatment modalities.
    Full-text · Article · Mar 2010
  • Article · Jan 2008
  • [Show abstract] [Hide abstract] ABSTRACT: Biliary cystadenomas of the liver are rare, cystic neoplasms of the biliary ductal system usually occur in middle aged women. We report a case of synchronous multiple huge biliary mucinous cystadenomas with unique features. This is, according to our knowledge, the first report in the literature about three synchronously occurring hepatobiliary cystadenomas. Cystadenomas have a strong tendency to recur, particularly following incomplete excision, and a potential of malignant transformation. A therapeutic re-evaluation may be necessary when the diagnosis of hepatobiliary cystadenoma is made after the operation and an open liver resection should be considered.
    Full-text · Article · Jul 2008
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