Abstract Biliary cystadenomas are benign but potentially malignant cystic neoplasm. The preferred treatment is radical resection because it is difficult to differentiate a benign from a malignant biliary cystadenoma. A 40 year-old woman presented with moderate abdominal discomfort. Esophageal varix...
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| Format: | Article |
| Language: | English |
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Kosin University College of Medicine
2016-12-01
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| Series: | Kosin Medical Journal |
| Subjects: | |
| Online Access: | http://www.kosinmedj.org/upload/pdf/ksmc031-02-12.pdf |
| _version_ | 1811255703132700672 |
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| author | Sung Ju Kang Tae Hee Lee Min Gyu Seok Hyo Jin Yun Ye Seul Jang Jun Hyun Byun |
| author_facet | Sung Ju Kang Tae Hee Lee Min Gyu Seok Hyo Jin Yun Ye Seul Jang Jun Hyun Byun |
| author_sort | Sung Ju Kang |
| collection | DOAJ |
| description | Abstract Biliary cystadenomas are benign but potentially malignant cystic neoplasm. The preferred treatment is radical resection because it is difficult to differentiate a benign from a malignant biliary cystadenoma. A 40 year-old woman presented with moderate abdominal discomfort. Esophageal varix was found up to mid-esophagus on endoscopy. She has no prior history of liver disease or chronic alcohol ingestion. About 15cm sized biliary cystadenoma was diagnosed by ultrasonography, computed tomography and magnetic resonance imaging. Serum level of bilirubin, alanine aminotransferase, alkaline phosphatase, gamma-glutamyl transpeptidase and tumor marker were elevated. The patient underwent US-guided aspiration. Tumor markers from the aspirated fluid are increased. Left hepatectomy was performed to completely remove the cyst. Histology of the resected specimen confirmed a biliary cystadenoma of the liver with ovary-like stroma. Without prior history of liver disease or chronic alcoholic ingestion, incidental finding of esophageal varix could show an important clue for diagnosis of biliary cystadenoma. |
| first_indexed | 2024-04-12T17:28:53Z |
| format | Article |
| id | doaj.art-185a4d20e8b7427e924ed1f77e008a29 |
| institution | Directory Open Access Journal |
| issn | 2005-9531 2586-7024 |
| language | English |
| last_indexed | 2024-04-12T17:28:53Z |
| publishDate | 2016-12-01 |
| publisher | Kosin University College of Medicine |
| record_format | Article |
| series | Kosin Medical Journal |
| spelling | doaj.art-185a4d20e8b7427e924ed1f77e008a292022-12-22T03:23:11ZengKosin University College of MedicineKosin Medical Journal2005-95312586-70242016-12-0131219119610.7180/kmj.2016.31.2.191190Sung Ju Kang0Tae Hee Lee1Min Gyu Seok2Hyo Jin Yun3Ye Seul Jang4Jun Hyun Byun5Department of Internal Medicine, College of Medicine, Konyang University, Daejeon, KoreaDepartment of Internal Medicine, College of Medicine, Konyang University, Daejeon, KoreaDepartment of Internal Medicine, College of Medicine, Konyang University, Daejeon, KoreaDepartment of Internal Medicine, College of Medicine, Konyang University, Daejeon, KoreaDepartment of Internal Medicine, College of Medicine, Konyang University, Daejeon, KoreaDepartment of Internal Medicine, College of Medicine, Konyang University, Daejeon, KoreaAbstract Biliary cystadenomas are benign but potentially malignant cystic neoplasm. The preferred treatment is radical resection because it is difficult to differentiate a benign from a malignant biliary cystadenoma. A 40 year-old woman presented with moderate abdominal discomfort. Esophageal varix was found up to mid-esophagus on endoscopy. She has no prior history of liver disease or chronic alcohol ingestion. About 15cm sized biliary cystadenoma was diagnosed by ultrasonography, computed tomography and magnetic resonance imaging. Serum level of bilirubin, alanine aminotransferase, alkaline phosphatase, gamma-glutamyl transpeptidase and tumor marker were elevated. The patient underwent US-guided aspiration. Tumor markers from the aspirated fluid are increased. Left hepatectomy was performed to completely remove the cyst. Histology of the resected specimen confirmed a biliary cystadenoma of the liver with ovary-like stroma. Without prior history of liver disease or chronic alcoholic ingestion, incidental finding of esophageal varix could show an important clue for diagnosis of biliary cystadenoma.http://www.kosinmedj.org/upload/pdf/ksmc031-02-12.pdfbiliarycystadenomaesophageal varix |
| spellingShingle | Sung Ju Kang Tae Hee Lee Min Gyu Seok Hyo Jin Yun Ye Seul Jang Jun Hyun Byun Kosin Medical Journal biliary cystadenoma esophageal varix |
| topic | biliary cystadenoma esophageal varix |
| url | http://www.kosinmedj.org/upload/pdf/ksmc031-02-12.pdf |