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Updated: Jun 27, 2026
04:14
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Ciliated hepatic foregut cyst: an increasingly diagnosed condition.
Sharad Sharma1, Amanda G Dean, Ayumi Corn
1Nazih Zuhdi Transplant Institute, 3300 North West Expressway, Oklahoma 73112, USA.
Hepatobiliary & Pancreatic Diseases International : HBPD INT
|December 17, 2008
Summary
Ciliated hepatic foregut cysts (CHFCs) are rare liver cysts that can become malignant. Early diagnosis and surgical resection are crucial for managing these potentially devastating conditions.
Area of Science:
- Hepatology
- Surgical Pathology
- Diagnostic Imaging
Background:
- Ciliated hepatic foregut cysts (CHFCs) are rare liver lesions, with a recent increase in reported cases.
- While often resembling benign simple liver cysts, CHFCs carry a risk of malignant transformation.
Purpose of the Study:
- To systematically review all reported cases of CHFCs.
- To analyze incidence, embryogenesis, clinical presentation, diagnostic modalities, and malignant potential.
Main Methods:
- Comprehensive literature review of 96 reported CHFC cases.
- Analysis of diagnostic imaging (ultrasound, CT, MRI), fine needle aspiration cytology (FNAC), and histopathology.
Main Results:
- Mean patient age was 48 years; male/female ratio 1.1:1.
- Most patients (62%) were asymptomatic; common presentation was right upper quadrant pain.
- Malignant transformation occurred in 3 cases, with 2 showing squamous metaplasia.
Conclusions:
- Increased clinical awareness of CHFCs is noted.
- Imaging provides clues, but FNAC and definitive histopathology are key for diagnosis.
- Surgical resection is recommended for all diagnosed CHFCs due to malignant potential.
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