Cystic neoplasms of the liver: a report of two cases with special reference to cystadenocarcinoma.
We herein present two cases with cystic neoplasms of the liver, both successfully treated by a surgical resection. One patient underwent a tumor enucleation, while the other had a left hepatic lobectomy and left caudate lobectomy. Although the follow-up period is still relatively short, both patients are doing well without any sign of recurrence. The specimens were histopathologically examined including immunohistochemical staining. Both tumors were unilocular-cystic and contained mucus. One tumor was considered to have originated from a cystadenoma with a mesenchymal stroma, which has been espoused by Wheeler and Edmondson, while the other tumor was considered to have originated from the bile duct. Therefore, the diagnosis of one patient was cystadenocarcinoma, while the other was considered to be a mucin-producing papillary adenocarcinoma of the intrahepatic bile duct. No invasive growth to the liver parenchyma or the surrounding tissues was observed in either case. Thus, a surgical resection should be the first choice of treatment for cystic neoplasms of the liver. Furthermore, a malignant transformation of cystadenoma with a mesenchymal stroma should be given a special entity in cystadenocarcinoma.
Shimada
M
M
Department of Surgery, National Fukuoka-Higashi Hospital, Kasuya, Japan.
Kajiyama
K
K
Saitoh
A
A
Kano
T
T
D002288:Adenocarcinoma, Mucinous / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D000231:Adenocarcinoma, Papillary / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D000368:Aged; D003536:Cystadenocarcinoma / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged