Primary biliary cystadenocarcinoma mimicking a complicated hydatid cyst.
Cystadenocarcinoma of the liver is a rare neoplasm that originates from hepatobiliary epithelium. Primary location of this tumor is generally intrahepatic and most cases are in the right hepatic lobe. Herein we present a case of intrahepatic cystadenocarcinoma in a 53-year-old man who had been followed up for 8 years as hydatic cyst disease of the liver. He was admitted to our hospital with jaundice and loss of appetite. Ultrasound and computed tomography showed a cystic lesion that looked like type II cyst hidatic. Thereafter magnetic resonance imaging revealed a cystic lesion associated with biliary tree. On diagnostic laparotomy peritoneal infiltrations were observed and pathologic examination revealed a biliary cystadenocarcinoma and peritonitis carcinomatosa was diagnosed. Unfortunately correct diagnosis was extremely late and no curative management was possible.
Department of Surgery, Ankara University Medical School, Ankara, Turkey. volkan@medicine.ankara.edu.tr
V
V
Genç
A
A
Cakmak
M
M
Akbari
E
E
Orozakunov
S
S
Ersöz
D001661:Biliary Tract Neoplasms / Q000150:complications / Q000175:diagnosis*; D003536:Cystadenocarcinoma / Q000150:complications / Q000175:diagnosis*; D057210:Delayed Diagnosis; D003937:Diagnosis, Differential; D004444:Echinococcosis, Hepatic / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000209:etiology