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Liver Cystadenoma


Authors: T. Skalický;  V. Třeška;  A. Sutnar;  V. Liška;  J. Horský;  J. Ferda * ;  H. Mírka *
Authors place of work: Chirurgická klinika LF UK a FN v Plzni, přednosta: prof. MUDr. V. Třeška, DrSc. ;  Klinika zobrazovacích metod, LF UK a FN v Plzni, přednosta: doc. MUDr. B. Kreuzberg, CSc. *
Published in the journal: Rozhl. Chir., 2009, roč. 88, č. 12, s. 730-734.
Category: Monothematic special - Original

Summary

The Introduction:
Biliary cystadenomas of the liver are less often complicated cystic lesions of the liver with a malignant potential.

The Aim:
The aim of the work was to assess the results of the set of an own working place emphasising new findings in the diagnostics and the treatment of benign tumours of the liver.

The Set of the Patients and The Method:
From 2004 till 2009 three patients were operated on biliary cystadenomas of the liver at the Surgical Clinic of Medical Faculty of Charles University and Faculty Hospital in Plzeň. In all cases these patients were women with the average age 42 years of the age category 36–58 years. In all cases the formation was located centrally close to the branching of the big biliary ducts. The diagnosis was established preoperativelly in 66% of cases. An enucleation was performed two times and the right hepatectomy once. Mortality was 0% and morbidity was 33%.

The Conclusion:
Regarding to the fact that cystadenomas of the liver as benign tumours have a malignant potential for rising the cystadenocarcinoma, it is always necessary to perform their surgical removing – resection or the enucleation. With respect to their central location their surgical treatment belongs to more difficult performances carried out on the liver parenchyma. Long-term results after the surgical treatment are very good.

Key words:
benign liver tumors – cystadenoma


Zdroje

1. Läuffer, J. M., Baer, H. U., Maurer, C. A., Stoupis, C. H., Zimmermann, Büchler, M. W. Biliary Cystadenocarcinoma of the Liver: the Need for Complete Resection. European Journal of Cancer, 1998, Vol. 34, No. 12, s 1845–1851.

2. Kazama, S., Hiramatsu, T., Kurkuma, S., et al. Giant Intrahepatic Cystadenoma in a Male: A Case report, Imunohistopatological Analysis, and Review of the Literature. Digestive Diseases and Sciences, 2005, Vol. 50, No. 7, s 1384–1389.

3. Teoh, A. Y. B., Simon, S. M., Lee, K. F., Lai, P. B. S. Biliary Cystadenoma and Other Complicated Lesions of the Liver: Diagnostic and Therapeutic Challenges. World J. Surg., 2006, Vol. 30, s. 1560–1566.

4. Kim, K., Choi, J., Park, Y., et al. Biliary cystadenoma of the liver. J. Hepatobiliary Pancreat. Surg., 1998, Vol. 5, s. 348–352.

5. Williams, D. M., Vitellas, K. M., Sheafor, D. Biliary cystadenokarcinoma: seven year follow-up and the role of MRI and MRCP. Magnetic Resonance Imaging, 19, 2001, s. 1203–1208.

6. Seidel, R., Weinrich, M., Pistorius, G., et al. Biliary cystadenoma of the left intrahepatic duct. Eur. Radiol., 2007, Vol. 17, s. 1380–1383.

7. Abdul-Al, H. M., Makhlouf, H. R., Goodman, Z. D. Expression of estrogen and progesterone receptors and inhibin-alfa in hepatobiliary cystadenoma: an immunohistochemical study. Virchow Arch., 2007, 450, s. 691–697.

8. Kubota, E., Katsumi, K., Iida, M., et al. Biliary cystadenocarcinoma followed up as benign cystadenoma for 10 years. J. Gastroenterol., 2003, Vol. 38, s. 278–282.

9. Koffron, A., Rao, S., Ferrario, M., et al. Intrahepatic biliary cystadenoma: role of cyst fluid analysis and surgical management in the laparoskopic era. Surgery, 2004, 136, s. 926–936.

10. Sutnar, A., Skalický, T., Třeška, V., Hes, O., Mírka, H., Michal, M., Novák, P., Liška, V. Cystadenom jater s ovariálním stromatem – kazuistika. Rozhl. Chir., 2008; 87(5): 259–262.

Štítky
Surgery Orthopaedics Trauma surgery

Článok vyšiel v časopise

Perspectives in Surgery

Číslo 12

2009 Číslo 12
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