Mucinous cystic neoplasm of the liver with biliary communication: case report and surgical therapeutic option

Abstract Background Mucinous cyst neoplasm of the liver (MCN-L) comprise less than 5% of all cystic liver lesions and is characterized by the presence of ovarian stroma and absence of bile duct communication. Case presentation Here, we discuss a 45-year-old woman who presented with symptomatic liver...

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Main Authors: Raphaella Ferreira, Phillipe Abreu, Vagner Birk Jeismann, Vanderlei Segatelli, Fabricio Ferreira Coelho, Andre Ibrahim David
Format: Article
Language:English
Published: BMC 2020-12-01
Series:BMC Surgery
Subjects:
Online Access:https://doi.org/10.1186/s12893-020-01003-3
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author Raphaella Ferreira
Phillipe Abreu
Vagner Birk Jeismann
Vanderlei Segatelli
Fabricio Ferreira Coelho
Andre Ibrahim David
author_facet Raphaella Ferreira
Phillipe Abreu
Vagner Birk Jeismann
Vanderlei Segatelli
Fabricio Ferreira Coelho
Andre Ibrahim David
author_sort Raphaella Ferreira
collection DOAJ
description Abstract Background Mucinous cyst neoplasm of the liver (MCN-L) comprise less than 5% of all cystic liver lesions and is characterized by the presence of ovarian stroma and absence of bile duct communication. Case presentation Here, we discuss a 45-year-old woman who presented with symptomatic liver mass. Diagnostic workup detected a 4.2 × 3.6 cm septate cyst located in segments I, V, and VIII of the liver in communication with the right hepatic duct. An open right liver resection with total bile duct excision and hilar lymphadenectomy was performed. Pathology revealed a multiloculated cyst with lined mucinous epithelium and ovarian-like stroma, consistent with low-grade MCN-L. Conclusions This case shows that unusual location and bile duct communication can be present in MCN-L.
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spelling doaj.art-22564ad520534b21b179de572a2f45f32022-12-21T23:34:46ZengBMCBMC Surgery1471-24822020-12-012011610.1186/s12893-020-01003-3Mucinous cystic neoplasm of the liver with biliary communication: case report and surgical therapeutic optionRaphaella Ferreira0Phillipe Abreu1Vagner Birk Jeismann2Vanderlei Segatelli3Fabricio Ferreira Coelho4Andre Ibrahim David5Division of Liver Surgery, Santa Casa of Sao Paulo School of Medical SciencesDivision of Liver Surgery, Santa Casa of Sao Paulo School of Medical SciencesDivision of Digestive Surgery, Department of Gastroenterology, University of Sao Paulo School of MedicineDivision of Clinical Pathology, Albert Einstein Israelite HospitalDivision of Digestive Surgery, Department of Gastroenterology, University of Sao Paulo School of MedicineDivision of Liver Transplant Surgery, Samaritano Higienopolis HospitalAbstract Background Mucinous cyst neoplasm of the liver (MCN-L) comprise less than 5% of all cystic liver lesions and is characterized by the presence of ovarian stroma and absence of bile duct communication. Case presentation Here, we discuss a 45-year-old woman who presented with symptomatic liver mass. Diagnostic workup detected a 4.2 × 3.6 cm septate cyst located in segments I, V, and VIII of the liver in communication with the right hepatic duct. An open right liver resection with total bile duct excision and hilar lymphadenectomy was performed. Pathology revealed a multiloculated cyst with lined mucinous epithelium and ovarian-like stroma, consistent with low-grade MCN-L. Conclusions This case shows that unusual location and bile duct communication can be present in MCN-L.https://doi.org/10.1186/s12893-020-01003-3Liver neoplasmMucinous cystadenomaHepatectomyBenign liver tumors
spellingShingle Raphaella Ferreira
Phillipe Abreu
Vagner Birk Jeismann
Vanderlei Segatelli
Fabricio Ferreira Coelho
Andre Ibrahim David
Mucinous cystic neoplasm of the liver with biliary communication: case report and surgical therapeutic option
BMC Surgery
Liver neoplasm
Mucinous cystadenoma
Hepatectomy
Benign liver tumors
title Mucinous cystic neoplasm of the liver with biliary communication: case report and surgical therapeutic option
title_full Mucinous cystic neoplasm of the liver with biliary communication: case report and surgical therapeutic option
title_fullStr Mucinous cystic neoplasm of the liver with biliary communication: case report and surgical therapeutic option
title_full_unstemmed Mucinous cystic neoplasm of the liver with biliary communication: case report and surgical therapeutic option
title_short Mucinous cystic neoplasm of the liver with biliary communication: case report and surgical therapeutic option
title_sort mucinous cystic neoplasm of the liver with biliary communication case report and surgical therapeutic option
topic Liver neoplasm
Mucinous cystadenoma
Hepatectomy
Benign liver tumors
url https://doi.org/10.1186/s12893-020-01003-3
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