Cystadenoma and Cystadenocarcinoma of the Liver: A Single Center Experience

Vogt, David; Henderson, J. Michael; Chmielewski, Elaine

doi:10.1016/j.jamcollsurg.2005.01.005

Cited by 143 publications

(211 citation statements)

References 13 publications

Supporting

Mentioning

188

Contrasting

Unclassified

Order By: Relevance

“…Cystadenoma with mesenchymal stroma as in our case is regarded as a precancerous lesion, occurs exclusively in women, and implies a good prognosis [16]. However, cystadenomas absent of mesenchymal stroma show similar incidence in both sex that tend to occur in older patients which seem to undergo malignant transformation much more frequently [17], implying poor prognosis, especially in male patient even after complete excision [4,10].…”

Section: Discussionmentioning

confidence: 46%

“…MRI may also improve tissue characterization because of its high contrast resolution. Signal intensity may vary as it depends on the nature of cyst fluid, which may be serous, mucinous or hemorrhagic [10]. Levovist ultrasonography imaging could play an important role in the differential diagnosis from hemorrhagic simple cyst by demonstrating the vascularity of the visualized intracystic structures [11].…”

Section: Discussionmentioning

confidence: 99%

“…Intraoperative biopsy and rapid frozen sections are essential although they are not 100% accurate [10]. If the biopsy confirms cystadenoma, complete excision is necessary.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Spontaneous rupture of a giant hepatobiliary serous cystadenoma: report of a case and literature review

Sun

et al. 2010

Hepatol Int

View full text Add to dashboard Cite

Hepatobiliary cystadenomas are rare cystic neoplasms that often occur in middle age women, and spontaneous rupture is extremely rare. The exact etiology of these tumors is unknown. Diagnosis is often delayed, while misdiagnosis and inappropriate treatment may result in unfavorable outcome. We report a case of hepatobiliary serous cystadenoma with mesenchymal stroma, initially misdiagnosed as simple hepatic cyst with intracystic hemorrhage. The rapid growth of the giant tumor leads to spontaneous rupture, almost turned into a life-threatening event. After emergency formal liver resection, the patient recovered well without recurrence during the 6-month follow-up period. We also reviewed the literature, proposed possible factors for the tumor's rapid growth, and discuss the current diagnostic and treatment modalities.

show abstract

Section: Discussionmentioning

confidence: 46%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Spontaneous rupture of a giant hepatobiliary serous cystadenoma: report of a case and literature review

Sun

et al. 2010

Hepatol Int

View full text Add to dashboard Cite

show abstract

“…1 Thomas et al 2 and Vogt et al 3 Surgical resection of tumors at the hepatocaval confluence is a technically demanding procedure. Enucleation procedures have been performed for the management of benign or premalignant lesions such as cystic tumors as previously described by Thomas et al 2 and Vogt et al…”

Section: Introductionmentioning

confidence: 99%

“…

AbstractBackground A mucinous cystic neoplasm (MCN) of the liver is a rare disease entity, occurring predominantly in the left hemiliver as reported by Simo et al1 Thomas et al 2 and Vogt et al 3 Surgical resection of tumors at the hepatocaval confluence is a technically demanding procedure. Enucleation procedures have been performed for the management of benign or premalignant lesions such as cystic tumors as previously described by Thomas et al 2 and Vogt et al

…”

mentioning

confidence: 99%

Pure Laparoscopic Transhepatic Enucleation of a Mucinous Cystic Neoplasm Abutting the Major Hepatic Veins at the Hepatocaval Confluence (with Video)

Kim

2018

Journal of Gastrointestinal Surgery

View full text Add to dashboard Cite

Background A mucinous cystic neoplasm (MCN) of the liver is a rare disease entity, occurring predominantly in the left hemiliver as reported by Simo et al.1 Thomas et al. 2 and Vogt et al. 3 Surgical resection of tumors at the hepatocaval confluence is a technically demanding procedure. Enucleation procedures have been performed for the management of benign or premalignant lesions such as cystic tumors as previously described by Thomas et al. 2 and Vogt et al. 3. We present a patient who underwent pure laparoscopic transhepatic enucleation to treat a MCN abutting the major hepatic veins at the hepatocaval confluence. Methods We treated a 77-year-old man who presented with a 5-cm-sized cystic mass at the hepatocaval confluence. Using the Pringle maneuver, we performed liver parenchymal transection along the junction between the origin of the middle hepatic vein (MHV) and the inferior vena cava (IVC) as reported by Kim 4 . The MHV formed the left-sided boundary of the cystic mass. After dissection of the left boundary of the cystic wall, the dorsal side of the cystic mass was carefully dissected. Liver parenchymal transection was continued up to the right hepatic vein (RHV). Laparoscopic enucleation was performed to expose the RHV and MHV, as well as the IVC. Results The operation time was 270 min, the estimated blood loss was 80 mL, and no transfusion was necessary in this patient. The final histopathological diagnosis of the mass was MCN. Postoperatively, the patient recovered uneventfully, and he was discharged on postoperative day 5. Conclusions Laparoscopic transhepatic enucleation for MCNs at the hepatocaval confluence is technically feasible and offers the benefits of a parenchyma-sparing resection. However, this procedure requires a high level of technical skills and shows a steep learning curve.

show abstract

Cystic Diseases of the Biliary System

Porte¹,

Clavien²

2006

Diseases of the Gallbladder and Bile Ducts

View full text Add to dashboard Cite

Cystadenoma and Cystadenocarcinoma of the Liver: A Single Center Experience

Cited by 143 publications

References 13 publications

Spontaneous rupture of a giant hepatobiliary serous cystadenoma: report of a case and literature review

Spontaneous rupture of a giant hepatobiliary serous cystadenoma: report of a case and literature review

Pure Laparoscopic Transhepatic Enucleation of a Mucinous Cystic Neoplasm Abutting the Major Hepatic Veins at the Hepatocaval Confluence (with Video)

Cystic Diseases of the Biliary System

Contact Info

Product

Resources

About