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Updated: Aug 12, 2026

Generation and Quantitative Characterization of Functional and Polarized Biliary Epithelial Cysts
09:55

Generation and Quantitative Characterization of Functional and Polarized Biliary Epithelial Cysts

Published on: May 16, 2020

Epidermoid cysts of the liver

J N Schullinger, H J Wigger, J B Price

    Journal of Pediatric Surgery
    |June 1, 1983
    PubMed

    Insights

    Two new pediatric liver epidermoid cysts were identified, adding to the four known cases. Treatment options include surgical excision or Roux-en-Y cystjejunostomy for palliation due to malignant potential.

    Area of Science:

    • Hepatology
    • Pediatric Surgery
    • Surgical Pathology

    Background:

    • Epidermoid cysts of the liver are rare, with only four cases previously documented.
    • The etiology of hepatic epidermoid cysts remains largely unknown, with theories suggesting origins from accessory foregut buds.

    Observation:

    • Two new cases of liver epidermoid cysts in pediatric patients are presented.
    • One case involved a 4-year-old girl with biliary cirrhosis, treated with Roux-en-Y cystjejunostomy.
    • The second case was a 5-month-old boy treated with enucleation.

    Findings:

    • The study expands the known cases of liver epidermoid cysts to six.
    • The origin of these cysts is still undetermined.
    • The potential for malignancy necessitates aggressive treatment.

    Implications:

    • Surgical excision is the recommended treatment for liver epidermoid cysts due to their malignant potential.
    • Roux-en-Y cystjejunostomy serves as a viable palliative option when complete excision is not feasible.
    • These cases highlight the importance of considering epidermoid cysts in pediatric liver pathology.

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