Multilocular cystic hepatocellular carcinoma (CHCC) mimicking mucinous cystadenocarcinoma.
Hepatocellular carcinoma with cystic formation is very rare. Only 5 cases have been reported previously in the literature. We present a 55-year-old man with a symptomatic large cystic hepatic mass. Both abdominal ultrasound and computed tomography revealed a multilocular cystic mass with solid component, occupying most of the left lobe of the liver. An extended left hepatectomy was performed on the basis of a presumptive diagnosis of a cystadenocarcinoma. Pathologic and immunohistochemical evaluation however confirmed a cystic hepatocellular carcinoma without cirrhosis. The incidence and prognosis of this rare entity is unknown.
Heywood
Glenroy
G
Department of Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA.
Van Buren
Stephen F
SF
Smyrk
Thomas
T
Nagorney
David M
DM
D001661:Biliary Tract Neoplasms / Q000175:diagnosis*; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis*; D018282:Cystadenocarcinoma, Mucinous / Q000175:diagnosis*; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed