Cystic liver metastases from lung adenocarcinoma: a case report.
Cystic hepatic metastases arising from lung cancer are rare. We herein describe a case of a 71-year-old women admitted to our hospital for abdominal pain 6 months after the resection of a lung adenocarcinoma. Two cystic lesions of the liver were discovered at abdominal ultrasonography and computerized tomography scan. An ERCP excluded a biliary adenoma or adenocarcinoma, and an ultrasound-guided liver biopsy was negative for malignant cells. For persistence of symptoms and lack of a diagnosis, the patient underwent an exploratory laparotomy, a surgical biopsy with a diagnosis of adenocarcinoma, and a consequent right hepatectomy. After 2 years of follow-up, the patient is well and disease free. Although cystic liver metastasis are rare and a differential diagnosis difficult, the malignant nature should always be considered in the differential diagnosis of hepatic cysts to offer the patient the best treatment.
Romano
Fabrizio
F
Department of Surgery, San Gerardo Hospital, Monza, II University of Milan Bicocca, Milan, Italy. fabriziorom@hotmail.com
Porta
Andrea
A
Caprotti
Roberto
R
Uggeri
Fabio
F
Conti
Matteo
M
Uggeri
Franco
F
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D000368:Aged; D000792:Angiography; D003560:Cysts / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006498:Hepatectomy; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D008175:Lung Neoplasms / Q000473:pathology*; D011860:Radiography, Abdominal / Q000379:methods; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography