title: Cystadenomas of the liver: a spectrum of disease.
abstract: OBJECTIVE
  To describe the wide variation in presentation of cystadenomas of the liver and to delineate useful tests for diagnosis and effective surgical treatment.
  
  
  METHODS
  A case series.
  
  
  METHODS
  A university-affiliated hospital.
  
  
  METHODS
  Four patients (3 women, 1 man) having cystadenoma of the liver, 2 of whom had associated mesenchymal stroma.
  
  
  METHODS
  Serum and cyst fluid carcinoembryonic antigen (CEA) and CA19-9 levels, type of surgery, morbidity and recurrence rates.
  
  
  RESULTS
  Cyst fluid CEA and CA19-9 levels were elevated. One patient had resection, 2 had complete enucleation and 1 had partial enucleation. There were no deaths. Morbidity included 1 wound infection; there were no biliary fistulas. The patient with partial enucleation had a radiologically confirmed recurrence.
  
  
  CONCLUSIONS
  Analysis of cyst fluid CEA and CA19-9 is useful for diagnosis; besides hepatic resection, complete enucleation should be considered as a reasonable treatment for patients with this disease.
authors.affiliation: Department of Surgery, Peter Lougheed Hospital, University of Calgary, Alta.
authors.forename: E
authors.initials: E
authors.lastname: Dixon
authors.forename: F R
authors.initials: FR
authors.lastname: Sutherland
authors.forename: P
authors.initials: P
authors.lastname: Mitchell
authors.forename: G
authors.initials: G
authors.lastname: McKinnon
authors.forename: V
authors.initials: V
authors.lastname: Nayak
mesh_terms: D000328:Adult; D018395:CA-19-9 Antigen / Q000032:analysis; D002272:Carcinoembryonic Antigen / Q000032:analysis; D003537:Cystadenoma / Q000175:diagnosis* / Q000601:surgery*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
chemical_list: D018395:CA-19-9 Antigen; D002272:Carcinoembryonic Antigen