Intrahepatic Biliary Cystadenoma With Colonic Adenomatous Polyps in a Patient With Chronic Hepatitis B: A Case Report and Literature Review
Background: Biliary cystadenomas are rare cystic tumors of the bile duct system that are mostly benign but also have the possibility of malignant transformation. Biliary cystadenomas mostly occur in the intrahepatic bile ducts and are more common in middle-aged women. Due to non-specific radiology,...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2021-12-01
|
| Series: | Frontiers in Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2021.760607/full |
| _version_ | 1819319700315701248 |
|---|---|
| author | Yan Tang Chenyu Wang Shunjun Fu Ting Li Guolin He |
| author_facet | Yan Tang Chenyu Wang Shunjun Fu Ting Li Guolin He |
| author_sort | Yan Tang |
| collection | DOAJ |
| description | Background: Biliary cystadenomas are rare cystic tumors of the bile duct system that are mostly benign but also have the possibility of malignant transformation. Biliary cystadenomas mostly occur in the intrahepatic bile ducts and are more common in middle-aged women. Due to non-specific radiology, preoperative diagnosis is difficult and is usually performed by postoperative pathology. Complete resection is the best treatment option, and the postoperative prognosis is good.Case Description: This study reports a case of a patient with biliary cystadenoma who was diagnosed with simultaneous chronic hepatitis B and colon (hepatic flexure) adenomatous polyps. The patient presented to the doctor because of abdominal pain, and a blood test showed hepatitis B. Computed tomography revealed both right liver and colonic lesions. Colonoscopy revealed polyps, and the postoperative pathological diagnosis was adenomatous polyps. Laparoscopic resection of the right liver tumor was performed, and it was diagnosed as hepatobiliary cystadenoma by postoperative pathological analysis combined with immunohistochemistry.Conclusion: In patients with chronic hepatitis, the shape of biliary cystadenoma may not be very typical, and it is necessary to combine this with immunohistochemistry for diagnosis. When multiple lesions are detected in the painful area, the diagnosis of each lesion and its treatment sequence are worthy of consideration. Under normal circumstances, the prognosis of biliary cystadenoma is good; however, in patients with chronic hepatitis B, more cases need to be observed for verification. |
| first_indexed | 2024-12-24T11:07:51Z |
| format | Article |
| id | doaj.art-de8e037bcc5940c2bd70adaa7d6a55ec |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-12-24T11:07:51Z |
| publishDate | 2021-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-de8e037bcc5940c2bd70adaa7d6a55ec2022-12-21T16:58:36ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-12-01810.3389/fmed.2021.760607760607Intrahepatic Biliary Cystadenoma With Colonic Adenomatous Polyps in a Patient With Chronic Hepatitis B: A Case Report and Literature ReviewYan Tang0Chenyu Wang1Shunjun Fu2Ting Li3Guolin He4The Remarkable and Innovation Class, The Second School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaThe Remarkable and Innovation Class, The Second School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaDepartment of Hepatobiliary Surgery II, Zhujiang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Hepatobiliary Surgery II, Zhujiang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Hepatobiliary Surgery II, Zhujiang Hospital, Southern Medical University, Guangzhou, ChinaBackground: Biliary cystadenomas are rare cystic tumors of the bile duct system that are mostly benign but also have the possibility of malignant transformation. Biliary cystadenomas mostly occur in the intrahepatic bile ducts and are more common in middle-aged women. Due to non-specific radiology, preoperative diagnosis is difficult and is usually performed by postoperative pathology. Complete resection is the best treatment option, and the postoperative prognosis is good.Case Description: This study reports a case of a patient with biliary cystadenoma who was diagnosed with simultaneous chronic hepatitis B and colon (hepatic flexure) adenomatous polyps. The patient presented to the doctor because of abdominal pain, and a blood test showed hepatitis B. Computed tomography revealed both right liver and colonic lesions. Colonoscopy revealed polyps, and the postoperative pathological diagnosis was adenomatous polyps. Laparoscopic resection of the right liver tumor was performed, and it was diagnosed as hepatobiliary cystadenoma by postoperative pathological analysis combined with immunohistochemistry.Conclusion: In patients with chronic hepatitis, the shape of biliary cystadenoma may not be very typical, and it is necessary to combine this with immunohistochemistry for diagnosis. When multiple lesions are detected in the painful area, the diagnosis of each lesion and its treatment sequence are worthy of consideration. Under normal circumstances, the prognosis of biliary cystadenoma is good; however, in patients with chronic hepatitis B, more cases need to be observed for verification.https://www.frontiersin.org/articles/10.3389/fmed.2021.760607/fullliverbiliary cystadenomacystic liver diseasecolon adenomatous polypschronic hepatitis Bintraductal papillary neoplasms of the bile duct |
| spellingShingle | Yan Tang Chenyu Wang Shunjun Fu Ting Li Guolin He Intrahepatic Biliary Cystadenoma With Colonic Adenomatous Polyps in a Patient With Chronic Hepatitis B: A Case Report and Literature Review Frontiers in Medicine liver biliary cystadenoma cystic liver disease colon adenomatous polyps chronic hepatitis B intraductal papillary neoplasms of the bile duct |
| title | Intrahepatic Biliary Cystadenoma With Colonic Adenomatous Polyps in a Patient With Chronic Hepatitis B: A Case Report and Literature Review |
| title_full | Intrahepatic Biliary Cystadenoma With Colonic Adenomatous Polyps in a Patient With Chronic Hepatitis B: A Case Report and Literature Review |
| title_fullStr | Intrahepatic Biliary Cystadenoma With Colonic Adenomatous Polyps in a Patient With Chronic Hepatitis B: A Case Report and Literature Review |
| title_full_unstemmed | Intrahepatic Biliary Cystadenoma With Colonic Adenomatous Polyps in a Patient With Chronic Hepatitis B: A Case Report and Literature Review |
| title_short | Intrahepatic Biliary Cystadenoma With Colonic Adenomatous Polyps in a Patient With Chronic Hepatitis B: A Case Report and Literature Review |
| title_sort | intrahepatic biliary cystadenoma with colonic adenomatous polyps in a patient with chronic hepatitis b a case report and literature review |
| topic | liver biliary cystadenoma cystic liver disease colon adenomatous polyps chronic hepatitis B intraductal papillary neoplasms of the bile duct |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2021.760607/full |
| work_keys_str_mv | AT yantang intrahepaticbiliarycystadenomawithcolonicadenomatouspolypsinapatientwithchronichepatitisbacasereportandliteraturereview AT chenyuwang intrahepaticbiliarycystadenomawithcolonicadenomatouspolypsinapatientwithchronichepatitisbacasereportandliteraturereview AT shunjunfu intrahepaticbiliarycystadenomawithcolonicadenomatouspolypsinapatientwithchronichepatitisbacasereportandliteraturereview AT tingli intrahepaticbiliarycystadenomawithcolonicadenomatouspolypsinapatientwithchronichepatitisbacasereportandliteraturereview AT guolinhe intrahepaticbiliarycystadenomawithcolonicadenomatouspolypsinapatientwithchronichepatitisbacasereportandliteraturereview |