Ciliated Hepatic Foregut Cyst: Definitive Diagnosis Is Critical to the Optimal Treatment Pathway
Background. Ciliated hepatic foregut cyst (CHFC) is a rare, benign cyst of the liver, derived from the embryonic foregut epithelium. Although CHFCs are typically asymptomatic, some present with nonspecific abdominal symptoms. Imaging modalities alone are insufficient for diagnosis, with intrahepatic...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
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Hindawi Limited
2023-01-01
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Series: | Case Reports in Hepatology |
Online Access: | http://dx.doi.org/10.1155/2023/6637890 |
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author | Tatsuhiro Kato Christine M. G. Schammel Hubert Fenton Steven D. Trocha A. Michael Devane |
author_facet | Tatsuhiro Kato Christine M. G. Schammel Hubert Fenton Steven D. Trocha A. Michael Devane |
author_sort | Tatsuhiro Kato |
collection | DOAJ |
description | Background. Ciliated hepatic foregut cyst (CHFC) is a rare, benign cyst of the liver, derived from the embryonic foregut epithelium. Although CHFCs are typically asymptomatic, some present with nonspecific abdominal symptoms. Imaging modalities alone are insufficient for diagnosis, with intrahepatic cholangiocarcinoma included in the differential due to nonspecific imaging features; definitive diagnosis relies on histologic confirmation. These lesions are often benign; however, larger lesions can have malignant transformation into squamous cell carcinoma (SCC), which carries a poor prognosis, thus making a definitive diagnosis, no matter what size, essential. Here, we present a case of CHFC as well as a comprehensive literature review. Given these data, we propose an algorithm for definitive diagnosis. |
first_indexed | 2024-03-12T21:40:01Z |
format | Article |
id | doaj.art-03d4cacb76d24e6ea2f0c0b62796b166 |
institution | Directory Open Access Journal |
issn | 2090-6595 |
language | English |
last_indexed | 2024-03-12T21:40:01Z |
publishDate | 2023-01-01 |
publisher | Hindawi Limited |
record_format | Article |
series | Case Reports in Hepatology |
spelling | doaj.art-03d4cacb76d24e6ea2f0c0b62796b1662023-07-27T00:00:01ZengHindawi LimitedCase Reports in Hepatology2090-65952023-01-01202310.1155/2023/6637890Ciliated Hepatic Foregut Cyst: Definitive Diagnosis Is Critical to the Optimal Treatment PathwayTatsuhiro Kato0Christine M. G. Schammel1Hubert Fenton2Steven D. Trocha3A. Michael Devane4University of South Carolina School of Medicine GreenvilleUniversity of South Carolina School of Medicine GreenvillePathology AssociatesDepartment of SurgeryUniversity of South Carolina School of Medicine GreenvilleBackground. Ciliated hepatic foregut cyst (CHFC) is a rare, benign cyst of the liver, derived from the embryonic foregut epithelium. Although CHFCs are typically asymptomatic, some present with nonspecific abdominal symptoms. Imaging modalities alone are insufficient for diagnosis, with intrahepatic cholangiocarcinoma included in the differential due to nonspecific imaging features; definitive diagnosis relies on histologic confirmation. These lesions are often benign; however, larger lesions can have malignant transformation into squamous cell carcinoma (SCC), which carries a poor prognosis, thus making a definitive diagnosis, no matter what size, essential. Here, we present a case of CHFC as well as a comprehensive literature review. Given these data, we propose an algorithm for definitive diagnosis.http://dx.doi.org/10.1155/2023/6637890 |
spellingShingle | Tatsuhiro Kato Christine M. G. Schammel Hubert Fenton Steven D. Trocha A. Michael Devane Ciliated Hepatic Foregut Cyst: Definitive Diagnosis Is Critical to the Optimal Treatment Pathway Case Reports in Hepatology |
title | Ciliated Hepatic Foregut Cyst: Definitive Diagnosis Is Critical to the Optimal Treatment Pathway |
title_full | Ciliated Hepatic Foregut Cyst: Definitive Diagnosis Is Critical to the Optimal Treatment Pathway |
title_fullStr | Ciliated Hepatic Foregut Cyst: Definitive Diagnosis Is Critical to the Optimal Treatment Pathway |
title_full_unstemmed | Ciliated Hepatic Foregut Cyst: Definitive Diagnosis Is Critical to the Optimal Treatment Pathway |
title_short | Ciliated Hepatic Foregut Cyst: Definitive Diagnosis Is Critical to the Optimal Treatment Pathway |
title_sort | ciliated hepatic foregut cyst definitive diagnosis is critical to the optimal treatment pathway |
url | http://dx.doi.org/10.1155/2023/6637890 |
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