Τίτλος:
Biliary Mucinous Cystic Neoplasm of the Liver with Ovarian Stroma and
Elevated Serum and Cystic Fluid Cancer Antigen 19-9 Levels
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Biliary mucinous cystic neoplasms of the liver are rare cystic tumors
comprising less than 5% of the liver cystic neoplasms. These tumors
demonstrate a female predominance and entail a risk of malignant
transformation. We present a 56-year-old female patient with a
multiloculated liver cystic lesion measuring 22 cm who underwent a
cystectomy with en bloc resection of the liver segments II, III, and
cholecystectomy. Serum cancer antigen 19.9 was 4,122.00 U/ml, supporting
the diagnosis of a biliary cystic tumor. The cytology of the cystic
fluid was negative for malignancy and intracystic fluid cancer antigen
19.9 level was measured over 12,000.00 U/l. The patient is free of
recurrence at one-year follow up. Although a rare entity, the biliary
mucinous cystic neoplasms should be considered in the differential
diagnosis in the patients with liver cystic tumors. The appropriate
management with complete surgical resection with negative margins is
recommended given the risk of recurrence and malignant transformation.
Συγγραφείς:
Fragulidis, Georgios P.
Pantiora, V, Eirini
Kontis, Elissaios A.
and Primetis, Elias
Polydorou, Andreas
Karvouni, Eleni and
Polymeneas, George
Λέξεις-κλειδιά:
ovarian stroma; liver cyst; biliary mucinous cystic neoplasm; liver
resection; ca19-9
