Biliary cystadenomas: sonographic-angiographic-pathologic correlations

Forrest, Maureen E.; Cho, K J; Shields, J J; Wicks, Jeffrey D.; Silver, Terry M.; McCormick, T L

doi:10.2214/ajr.135.4.723

Cited by 71 publications

(27 citation statements)

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“…The two commonest theories are that they develop from either aberrant hamartomatomatous bile ducts or ectopic rests of embryonal gallbladder [17, 18]. Or alternatively they are acquired neoplastic lesions because of their multilocular nature along with their dense cellular walls and copious secretions [19, 20]. …”

Section: Discussionmentioning

confidence: 99%

Intrahepatic Biliary Cystadenoma Causing Luminal Common Bile Duct Obstruction

Sutton¹,

White²,

Berry³

et al. 2000

Dig Surg

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Background: Biliary cystadenomas are rare cystic tumours that arise in the liver or less frequently in the extrahepatic biliary system. They are commoner in middle-aged women, their most favoured site is the right hepatic lobe. Methods: Case report and review of the literature. Results: We present only the second case of an intrahepatic cystadenoma causing luminal obstruction of the common bile duct. Clinical presentation is often non-specific and can prove to be a diagnostic challenge. Conclusion: Wide local excision of biliary cystadenomas is recommended, with regular radiological follow-up.

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Section: Discussionmentioning

confidence: 99%

Intrahepatic Biliary Cystadenoma Causing Luminal Common Bile Duct Obstruction

Sutton¹,

White²,

Berry³

et al. 2000

Dig Surg

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“…Angiographically these tumors are usually hypovascular though abnormal clusters of vessels are frequently seen within their walls. Accumulation of contrast material within the wall or septum may be seen on delayed filming [4]. ERCP to investigate the cause of jaundice may demonstrate communication of the tumors with the bile ducts.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of biliary cystadenoma and cystadenocarcinoma

Stanley

Vujic

Schabel

et al. 1983

Gastrointest Radiol

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“…10,11 The findings for these tumors on abdominal US and CT are similar to those for pancreatic or ovarian cystadenomas or cystadenocarcinomas. Mural nodules or septations are important findings which potentially differentiate these tumors from choledochal cysts or cystic dilatation of the bile duct.…”

Section: Discussionmentioning

confidence: 54%

Extrahepatic biliary cystadenocarcinoma arising from the left hepatic duct

Kimura

Kagawa

Deguchi

et al. 1998

Journal of Gastroenterology

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A 54-year-old man, who had no clinical symptoms, underwent a routine health checkup at our hospital. Abdominal ultrasonography disclosed a well demarcated tumor containing a solid portion occupying the dilated left hepatic duct and a cystic portion expanding into the parenchyma of the left hepatic lobe, with mild dilatation of the intrahepatic bile ducts. These findings were later confirmed by computed tomography (CT) and magnetic resonance imaging. Endoscopic retrograde cholangiography revealed a complete defect at the level of the left hepatic duct, while drip infusion cholangiographic-CT (DIC-CT) disclosed a defect of the left hepatic duct only, with the distal portions of the left intrahepatic ducts being visualized on the image. Hepatic angiography revealed light stains in the solid portion in the parenchymal phase. At left lobectomy, a multiloculated polyp-like tumor was found arising from the left hepatic duct and expanding into the parenchyma of the left hepatic lobe. Microscopically, all the lining cells in the cysts and the tumor cells in the solid portion showed the features of papillary adenocarcinoma. In this patient with extrahepatic biliary cystadenocarcinoma, DIC-CT was useful in identifying the site of origin of the tumor, and hepatic angiography was also useful in differentiating this rare malignant tumor from benign cystadenoma.

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Biliary cystadenomas: sonographic-angiographic-pathologic correlations

Cited by 71 publications

References 0 publications

Intrahepatic Biliary Cystadenoma Causing Luminal Common Bile Duct Obstruction

Intrahepatic Biliary Cystadenoma Causing Luminal Common Bile Duct Obstruction

Evaluation of biliary cystadenoma and cystadenocarcinoma

Extrahepatic biliary cystadenocarcinoma arising from the left hepatic duct

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