Three Cases of Biliary Cystadenoma and Biliary Cystadenocarcinoma.
- Author:
Jun Hyun LEE
1
;
Gi Young SUNG
;
Hyung Min JIN
;
Do Sang LEE
;
Wook KIM
;
Il Young PARK
;
Dong Gu KIM
;
Jong Man WON
;
Jean A KIM
Author Information
1. Department of Surgery, Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea. parkiy5@unitel.co.kr
- Publication Type:Case Report
- Keywords:
Biliary cystadenoma;
Biliary cystadenocarcinoma;
Hepatectomy
- MeSH:
Abdomen;
Adult;
Aged;
Cystadenocarcinoma*;
Cystadenoma*;
Female;
Hepatectomy;
Humans;
Middle Aged;
Recurrence
- From:Journal of the Korean Surgical Society
2003;64(1):84-88
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A biliary cystadenoma and a cystadenocarcinoma are rare intrahepatic cystic neoplasm. The clinical feature is not marked but abdominal fullness and mass are the most common symptoms. The tumor is commonly a large multilocular cystic mass which requires hepatectomy for cure. We experienced one case of biliary cystadenoma and two cases of biliary cystadenocarcinoma. The biliary cystadenoma case was a 58-year-old female with right upper quadrant discomfort for 5 months and a 17 cm sized multilocular cystic mass. The serum CA 125 level was elevated but returned to normal level after resection. A right hepatectomy was performed and the patient has had no recurrence for 14 months after the resection. One of the biliary cystadenocarcinoma cases was a 42-year-old man with a 12 cm sized multilocular cystic mass in the right upper quadrant of his abdomen. A right hepatectomy was performed and the patient has had no recurrence for 12 months after the resection. The other biliary cystadenocarcinoma case was a 70-year-old man with right upper quadrant pain and a 5 cm sized cystic mass. A left hepatecomy was performed and the patient has had no recurrence for 8 month after the resection. The treatment of choice for a biliary cystadenoma or cystadenocarcinoma is complete resection. We report three cases of biliary cystadenoma and cystadenocarcinoma with a review of the literature.