Large mucinous biliary cystadenoma with "ovarian-like"stroma:A case report  

作　　者：Mircea Beuran Mircea Dan Venter Laura Dumitru 

机构地区：[1]Department of Surgery,Emergency Clinical Hospital,Bucharest,Romania

出　　处：《World Journal of Gastroenterology》2006年第23期3779-3781,共3页世界胃肠病学杂志（英文版）

摘　　要：Hepatobiliary cystadenomas are rare tumors that are difficult to diagnose preoperatively. They can reach large sizes that make them real intraoperative ＂surprises＂. A 63-year-old woman, presented with a symptomatic huge abdominal cystic mass, underwent complete resection of the mass with safety margins. Histopathological report revealed mucinous hepatic cystadenoma with ＂ovarian- like＂ stroma and areas of sclerohyalinization. The differential diagnosis of the large cystic tumors which occupy the right hemiabdomen must include the biliary cystadenoma; the complete resection of the tumor with safety margins avoids local recurrence, and therefore represents the optimal therapy because of the malignant potential of the disease. The postoperative follow-up includes abdominal ultrasound or CT scan and CA 19-9 measurement.肝胆管包囊腺瘤是是困难的外科手术前地诊断的稀罕肿瘤。他们能到达使他们成为真实 intraoperative 的大尺寸“吃惊”。一个 63 岁的女人，与一个征兆的巨大的腹的膀胱的团介绍了，与安全边缘经历了团的完全的切除术。组织病理学说的报告与“象卵巢一样”揭示了粘蛋白的的肝的包囊腺瘤 sclerohyalinization 的基质和区域。占据正确的半腹部的大囊性瘤的鉴别诊断必须包括胆道囊肿腺瘤；有安全边缘的肿瘤的完全的切除术避免本地复发，因为疾病的恶意的潜力，因此代表最佳的治疗。手术后的后续包括腹的超声或 CT 扫描和 CA 19-9 测量。

关 键 词：LIVER Cystic tumour Mucinous cystadenoma Surgery 

分 类 号：R735.8[医药卫生—肿瘤]