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[Peritoneal hepatobiliary cystadenoma--case report].
M Krstić1, T Alempijević, S Krstić
1Institut za bolesti digestivnog sistema, Klinika za gastroenterohepatologiju, KC Srbije, Beograd.
Acta Chirurgica Iugoslavica
|July 4, 2006
Summary
Hepatobiliary cystadenoma with mesenchymal stroma, a rare neoplasm in females, presents diagnostic challenges. Surgical excision is recommended due to potential malignancy.
Area of Science:
- Hepatobiliary Neoplasms
- Gastrointestinal Pathology
- Surgical Oncology
Background:
- Hepatobiliary cystadenoma with mesenchymal stroma is a rare cystic neoplasm exclusively observed in females.
- Accurate pre-operative diagnosis of this condition is often challenging.
- This case highlights the diagnostic difficulties, particularly with extrahepatic localization.
Observation:
- A 32-year-old female presented with right subcostal discomfort and pain.
- Imaging revealed a cystic lesion near the gallbladder, initially suspected to be echinococcal.
- Surgical exploration identified a mesenteric cystic neoplasm adjacent to, but not infiltrating, the gallbladder.
Findings:
- Pathophysiology confirmed hepatobiliary cystadenoma with mesenchymal stroma.
- The extrahepatic location complicated pre-surgical differential diagnosis.
- The neoplasm was closely associated with the gallbladder.
Implications:
- Early and accurate diagnosis is crucial for effective management.
- Radical surgical excision is the primary treatment modality.
- Awareness of the malignant potential necessitates prompt surgical intervention.