Brief Article
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World J Gastroenterol. Jan 21, 2011; 17(3): 361-365
Published online Jan 21, 2011. doi: 10.3748/wjg.v17.i3.361
Intrahepatic biliary cystic neoplasms: Surgical results of 9 patients and literature review
Ali Emre, Kürşat Rahmi Serin, İlgin Özden, Yaman Tekant, Orhan Bilge, Aydın Alper, Mine Güllüoğlu, Koray Güven
Ali Emre, Kürşat Rahmi Serin, İlgin Özden, Yaman Tekant, Orhan Bilge, Aydın Alper, Department of General Surgery, Hepatopancreatobiliary Surgery Unit, Istanbul Faculty of Medicine, Istanbul University, Istanbul 34093, Turkey
Mine Güllüoğlu, Department of Pathology, Istanbul Faculty of Medicine, Istanbul University, Istanbul 34093, Turkey
Koray Güven, Department of Radiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul 34093, Turkey
Author contributions: Emre A and Serin KR contributed equally to this work; Özden İ, Tekant Y, Bilge O and Alper A designed research, reviewed the literature and assisted in writing the paper; Güllüoğlu M analyzed the pathology specimens; Güven K reanalyzed the radiologic findings.
Correspondence to: Dr. Kürşat Rahmi Serin, Department of General Surgery, Hepatopancreatobiliary Surgery Unit, Istanbul Faculty of Medicine, Istanbul University, Millet Cad., Fatih, Istanbul 34093, Turkey. dr_krserin@yahoo.com
Telephone: +90-212-6211200 Fax: +90-212-6353082
Received: August 12, 2010
Revised: September 18, 2010
Accepted: September 26, 2010
Published online: January 21, 2011
Abstract

AIM: To investigate the eligible management of the cystic neplasms of the liver.

METHODS: The charts of 9 patients who underwent surgery for intrahepatic biliary cystic liver neoplasms between 2003 and 2008 were reviewed retrospectively. Informed consent was obtained from the patients and approval was obtained from the designated review board of the institution.

RESULTS: All patients were female with a median (range) age of 49 (27-60 years). The most frequent symptom was abdominal pain in 6 of the patients. Four patients had undergone previous laparotomy (with other diagnoses) which resulted in incomplete surgery or recurrences. Liver resection (n = 6) or enucleation (n = 3) was performed. The final diagnosis was intrahepatic biliary cystadenoma in 8 patients and cystadenocarcinoma in 1 patient. All symptoms resolved after surgery. There has been no recurrence during a median (range) 31 (7-72) mo of follow up.

CONCLUSION: In spite of the improvement in imaging modalities and increasing recognition of biliary cystadenoma and cystadenocarcinoma, accurate preoperative diagnosis may be difficult. Complete surgical removal (liver resection or enucleation) of these lesions yields satisfying long-term results.

Keywords: Biliary cystadenoma, Cystadenocarcinoma, Enucleation, Hepatic resection