Biliary Cystadenoma Causing Esophageal Varices / 고신대학교의과대학학술지
Kosin Medical Journal
;
: 191-196, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-222631
ABSTRACT
Biliary cystadenomas are benign but potentially malignant cystic neoplasm. The preferred treatment is radical resection because it is difficult to differentiate a benign from a malignant biliary cystadenoma. A 40 year-old woman presented with moderate abdominal discomfort. Esophageal varix was found up to mid-esophagus on endoscopy. She has no prior history of liver disease or chronic alcohol ingestion. About 15cm sized biliary cystadenoma was diagnosed by ultrasonography, computed tomography and magnetic resonance imaging. Serum level of bilirubin, alanine aminotransferase, alkaline phosphatase, gamma-glutamyl transpeptidase and tumor marker were elevated. The patient underwent US-guided aspiration. Tumor markers from the aspirated fluid are increased. Left hepatectomy was performed to completely remove the cyst. Histology of the resected specimen confirmed a biliary cystadenoma of the liver with ovary-like stroma. Without prior history of liver disease or chronic alcoholic ingestion, incidental finding of esophageal varix could show an important clue for diagnosis of biliary cystadenoma.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Bilirrubina
/
Imageamento por Ressonância Magnética
/
Varizes Esofágicas e Gástricas
/
Biomarcadores Tumorais
/
Ultrassonografia
/
Cistadenoma
/
Achados Incidentais
/
Diagnóstico
/
Alanina Transaminase
/
Ingestão de Alimentos
Tipo de estudo:
Estudo diagnóstico
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Kosin Medical Journal
Ano de publicação:
2016
Tipo de documento:
Artigo
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