AI Article Synopsis

  • Hepatocellular carcinoma with cystic formation is extremely rare, with only 5 documented cases prior to this one.
  • A 55-year-old man presented with a large cystic mass in the liver, confirmed through ultrasound and CT scans as a multilocular cystic mass with a solid component.
  • An extended left hepatectomy was performed under the assumption of cystadenocarcinoma, but pathology revealed it as cystic hepatocellular carcinoma, the incidence and prognosis of which remain largely unknown.

Article Abstract

Hepatocellular carcinoma with cystic formation is very rare. Only 5 cases have been reported previously in the literature. We present a 55-year-old man with a symptomatic large cystic hepatic mass. Both abdominal ultrasound and computed tomography revealed a multilocular cystic mass with solid component, occupying most of the left lobe of the liver. An extended left hepatectomy was performed on the basis of a presumptive diagnosis of a cystadenocarcinoma. Pathologic and immunohistochemical evaluation however confirmed a cystic hepatocellular carcinoma without cirrhosis. The incidence and prognosis of this rare entity is unknown.

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