Combined hepatocellular and cystadenocarcinoma presenting as a giant cyst of the liver--a case report.
Primary cystic lesions of the liver are very rare. Most of the solid tumours are hepatocellular carcinomas (HCC) with a smaller number being cholangiocarcinomas. The association of HCC with other primary liver malignancies is also extremely rare. This case report is about a 27 year old male patient who presented with a giant cystic lesion of the left liver. A CT scan showed a cystic lesion with internal septations and a thrombus in the main portal vein. The patient underwent an extended left hepatectomy and a portal venotomy with removal of the thrombus. Coexistent hepatocellular and cystadenocarcinoma were reported on histopathological examination. The patient was put on 5-FU postoperatively. He is doing well 11 months after surgery.
Rozario
A
A
Department of Surgery, St. John's Medical College Hospital, Bangalore, India.
Thomas
P G
PG
Sharief
S
S
Pais
A
A
Venkata
R K
RK
Babu
M K
MK
Rao
V
V
D000328:Adult; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D003536:Cystadenocarcinoma / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D003560:Cysts / Q000175:diagnosis; D003937:Diagnosis, Differential; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D008297:Male