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

Autor: Ferreira R; Division of Liver Surgery, Santa Casa of Sao Paulo School of Medical Sciences, São Paulo, Brazil., Abreu P; Division of Liver Surgery, Santa Casa of Sao Paulo School of Medical Sciences, São Paulo, Brazil. dr.phillipeabreu@gmail.com.; Department of Surgery, Jackson Memorial Hospital, Miami Transplant Institute, University of Mami, 1801 NW 9th Ave, 7th Floor, Miami, FL, 33137, USA. dr.phillipeabreu@gmail.com., Jeismann VB; Division of Digestive Surgery, Department of Gastroenterology, University of Sao Paulo School of Medicine, São Paulo, Brazil., Segatelli V; Division of Clinical Pathology, Albert Einstein Israelite Hospital, São Paulo, Brazil., Coelho FF; Division of Digestive Surgery, Department of Gastroenterology, University of Sao Paulo School of Medicine, São Paulo, Brazil., David AI; Division of Liver Transplant Surgery, Samaritano Higienopolis Hospital, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: BMC surgery [BMC Surg] 2020 Dec 11; Vol. 20 (1), pp. 328. Date of Electronic Publication: 2020 Dec 11.
DOI: 10.1186/s12893-020-01003-3
Abstrakt: 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.
Databáze: MEDLINE
Externí odkaz: