Large mucinous biliary cystadenoma with "ovarian-like" stroma: a case report.
Hepatobiliary cystadenomas are rare tumors that are difficult to diagnose preoperatively. They can reach large sizes that make them real intraoperative "surprises". A 63-year-old woman, presented with a symptomatic huge abdominal cystic mass, underwent complete resection of the mass with safety margins. Histopathological report revealed mucinous hepatic cystadenoma with "ovarian-like" stroma and areas of sclerohyalinization. The differential diagnosis of the large cystic tumors which occupy the right hemiabdomen must include the biliary cystadenoma; the complete resection of the tumor with safety margins avoids local recurrence, and therefore represents the optimal therapy because of the malignant potential of the disease. The postoperative follow-up includes abdominal ultrasound or CT scan and CA 19-9 measurement.
Beuran
Mircea
M
Department of Surgery, Emergency Clinical Hospital, Bucharest, Romania. clinicachirurgiescub@yahoo.com
Venter
Mircea-Dan
MD
Dumitru
Laura
L
D018395:CA-19-9 Antigen / Q000097:blood; D018291:Cystadenoma, Mucinous / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D010053:Ovary / Q000473:pathology*; D017154:Stromal Cells / Q000473:pathology*
D018395:CA-19-9 Antigen