415 results match your criteria: "Hepatic Cystadenomas"

Low-grade myofibroblastic sarcoma of the liver misdiagnosed as cystadenoma: A case report.

World J Gastroenterol

August 2022

Department of Ultrasonic Imaging, Xiangya Hospital, Central South University, Changsha 410008, Hunan Province, China.

Article Synopsis
  • Low-grade myofibroblastic sarcoma (LGMS) is a rare type of cancer that usually appears in the head and neck or extremities, but not typically in the liver.
  • A case study details a 58-year-old man who experienced abdominal pain and was initially misdiagnosed with a hepatic cystadenoma; surgery revealed LGMS in the liver.
  • The patient's condition initially improved, but follow-up imaging after 7 months indicated a possible metastatic lesion, highlighting the challenges in diagnosing liver LGMS.
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Background: Intrahepatic mucinous biliary cystadenoma is rare, and extrahepatic MBC is even rarer. To our knowledge, total laparoscopic resection of an extrahepatic MBC that had extended intrahepatically has never been reported.

Patients And Methods: A 28-year-old female presented to our hospital with upper abdomen pain.

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Biliary cystadenoma is a very uncommon benign cystic neoplasm involving the liver and the biliary tract. Most common presentations include right upper quadrant pain, nausea, vomiting, obstructive jaundice, and enlarging liver size. It can mimic many more commonly occurring diseases such as hepatic cyst, hepatic abscess, hydatid disease of the liver, and hepatic tuberculosis.

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Primary cystic neoplasms in the liver with ovarian type stroma typically represent mucinous cystic neoplasms. These tumors contain a cuboidal to columnar epithelium with variably mucinous cytoplasm. To the best of our knowledge, there are no reports of primary hepatic cystic neoplasms with ovarian-type stroma and ciliated epithelial lining.

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The literature on liver cysts is highly conflicting, mostly owing to definitional variations. Two hundred and fifty-eight ≥1 cm cysts evaluated pathologically using updated criteria were classifiable as: I. Ductal plate malformation related (63%); that is, cystic bile duct hamartoma or not otherwise specified-type benign biliary cyst (35 with polycystic liver disease).

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Background: Biliary cystadenoma is a rare cystic neoplasm of the liver. The clinical signs and symptoms are nonspecific, and treatment strategy is variable.

Case Presentation: In this study, we presented a case of a 32-year-old female with multilocular biliary cystadenoma.

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Rare variant of type V choledochal cyst masquerading as a biliary cystadenoma.

Ann Hepatobiliary Pancreat Surg

August 2022

Department of Surgical Gastroenterology and MIS, Sahasra Hospitals, Jayanagar, Bangalore, India.

Cystic lesions of the liver are commonly encountered in routine clinical practice with a reported prevalence of 15%-18%. They may range from a benign simple developmental cyst to a malignancy. Therefore, an accurate diagnosis is essential for adequate management.

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Biliary cystadenomas are rare cystic tumors of the bile duct system that are mostly benign but also have the possibility of malignant transformation. Biliary cystadenomas mostly occur in the intrahepatic bile ducts and are more common in middle-aged women. Due to non-specific radiology, preoperative diagnosis is difficult and is usually performed by postoperative pathology.

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Cystic liver lesions may be benign cysts, parasitic infestations, or malignant tumors requiring surgical resection. Hilar location and relation to major vasculature present challenges in conventional surgical access and resection. We describe totally robotic excision of a cystadenoma in a 55-year-old woman without complication.

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Cystic Primary Hepatic Neuroendocrine Tumor.

Korean J Gastroenterol

November 2021

Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea.

Neuroendocrine tumors (NETs) can arise throughout the body. Most NETs in the liver are metastatic tumors; primary hepatic NET (PHNET) is extremely rare. A diagnosis of PHNET is very difficult.

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Background And Aims: Simple liver cyst (SHC) is a benign condition with no malignant potential. They are typically discovered incidentally due to the increased use of abdominal imaging, but some patients may present with abdominal pain. A radiologist's differential diagnosis in cases of SHC will often include "rule out biliary cystadenoma.

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A patient with intrahepatic cholangiocarcinoma who underwent hepatic resection with completed neoadjuvant chemotherapy presented with increased CEA levels. Previous whole abdominal and chest CT scan revealed no evidence of local recurrence or metastasis.  Ga-FAPI-46 PET showed significantly higher tumor-to-background contrast of recurrent tumor and nodal metastasis, which were undetectable in the FDG PET or conventional CT scan.

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Rare monolocular intrahepatic biliary cystadenoma: A case report.

World J Clin Cases

September 2021

Department of Ultrasonography, Shaoxing People's Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), Shaoxing 312000, Zhejiang Province, China.

Background: Intrahepatic biliary cystadenoma (IBC) is a rare benign hepatic tumor that is often misdiagnosed as other hepatic cystic diseases. Therefore, imaging examinations are required for preoperative diagnosis. Contrast-enhanced ultrasound (CEUS) has gained increasing popularity as an emerging imaging modality and it is considered the primary method for screening IBC because of its specificity of performance.

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Introduction: Intracystic haemorrhage is a rare complication of hepatic cysts, and is often mistaken for a malignant lesion.

Case Report: A 55-year-old female with a history of polycystic kidney and liver disease presented with a six-month history of abdominal distension, abdominal pain, early satiety, shortness of breath and 5 kg of weight loss. Imaging revealed a 20 cm mixed solid-cystic hepatic lesion containing peripheral avascular mobile echogenic material with a flame-like morphology.

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Enucleation of Biliary Cystadenomas: a Review.

J Gastrointest Surg

October 2021

Section of Transplantation Surgery, Siteman Cancer Center, Barnes-Jewish Hospital, and Washington University School of Medicine in St. Louis, St Louis, MO, USA.

Article Synopsis
  • Biliary cystadenomas are rare benign tumors that can develop into malignant forms, with a recommended treatment of liver resection; however, enucleation is also explored as a less invasive option.
  • A study analyzed 25 articles involving 103 patients who underwent enucleation, mainly focusing on large cysts that posed high surgical risks for liver resection, and found no postoperative deaths.
  • Results showed that none of the patients experienced recurrences or malignant transformations after enucleation, indicating it may be a viable treatment method for these tumors.
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[Diagnosis and management of liver cysts].

Rev Med Liege

September 2021

Service de Chirurgie abdominale et Transplantation, CHU Liège, Belgique.

Cystic hepatic lesions are frequent and sometimes large. They are generally asymptomatic and discovered by chance. The differential diagnosis of these lesions includes congenital, post-traumatic, benign or malignant tumors, as well as infectious pathologies.

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A rare case of extrahepatic biliary mucinous cystic neoplasm in a middle-aged woman: A case report.

Mol Clin Oncol

October 2021

First Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, 11527 Athens, Greece.

Biliary mucinous cystic neoplasms are very rare tumors of the biliary tract with malignant potential. Preoperative diagnosis is challenging, as clinical, biochemical and radiological features are not specific. Surgical resection with negative margins is the gold standard treatment for these uncommon lesions.

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Clinicopathological Evaluation of 15 Ectopic Adrenal Tissues.

Arch Iran Med

April 2021

Department of Pathology, Dr. Lutfi Kirdar Kartal Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.

Background: Ectopic adrenal tissue is a rare condition associated with embryological development defects seen in many different areas in the abdomen and pelvis. Here, we aimed to discuss the clinicopathological features of ectopic adrenal tissues diagnosed in our clinic, in light of the literature.

Methods: We included cases of ectopic adrenal tissues incidentally detected in the specimens from patients undergoing operation for various diagnoses during 2012- March 2020.

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Primary Echinococcus Hydatid Cyst of the Uterus: An Unusual Location.

Case Rep Surg

May 2021

Department of General and Digestive Surgery A at the University Hospital Charles Nicolle, University of Tunis el Manar, Tunisia.

Hydatidosis is a widespread anthropozoonosis. It can affect almost any part of the body, but it occurs most commonly in the liver (75%) and the lungs (15%). Its occurrence in female genital tract, especially the uterus, is very rare.

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Congenital cystic disease of the biliary tree is a known risk factor for gallbladder cancer. We here report a case of squamous cell carcinoma of the bile duct (BD) complicating a cystic dilatation of the bile ducts in a 54-year-old woman hospitalized for biliary pancreatitis. Abdominal scanner showed nodular thickening of the fundus of the gallbladder and fusiform dilation of the cystic duct and the main bile duct (VBP) with lesion of the tail of the pancreas, initially suggesting mucinous cystadenoma.

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The incidence of pancreatic cystic neoplasms has grown because of increased detection. Among these lesions, serous cystadenoma was traditionally thought to be universally benign and indolent. However, there is an exceedingly rare malignant variant of serous cystadenoma known as serous cystadenocarcinoma (SCAC) that can exhibit local invasion into adjacent structures, hepatic implants, and metastatic spread to the abdominal viscera.

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Article Synopsis
  • Mucinous cystic neoplasm (MCN) of the liver is a rare type of tumor characterized by cystic structures and ovarian-like stroma; its exact origin is unknown but ectopic ovarian-like cells in the liver are suggested to be a source.
  • A unique case involved a 71-year-old woman with a 10.5-cm multiloculated cyst that contained mucus, bile, hematoma, and, notably, intratumoral fatty tissue, which is not commonly associated with MCNs.
  • Following surgery to remove the tumor, the pathological findings confirmed MCN with ovarian-like stroma, and the case provides potential support for the theory that these tumors may stem from ectopic ovarian-like tissue in the liver
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Differentiation and management of hepatobiliary mucinous cystic neoplasms: a single centre experience for 8 years.

BMC Surg

March 2021

Department of General Surgery, School of Medicine, Sir Run Run Shaw Hospital, Zhejiang University, 3 East Qingchun Road, Hangzhou, 310016, Zhejiang, China.

Background: Hepatobiliary mucinous cystic neoplasms (H-MCNs) are relatively rare cystic neoplasms in the liver. The differential diagnosis of H-MCNs remains big challenging, and the management and prognosis between the hepatic simple cyst (HSC) and H-MCNs are quite different. This study aimed to present our experience in the management of H-MCNs and provide a preoperative H-MCNs risk prediction nomogram to differentiating H-MCNs from liver cystic lesions.

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Background: Hepatic cavernous hemangioma is the most common type of benign liver tumor. Although ruptures and hemorrhages of hepatic hemangioma are rare complications, they are associated with high mortality. Most practitioners only pay more attention to abdominal hemorrhages caused by the rupture of hepatic hemangiomas.

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