Journals / Turkish Journal of Gastroenterology / 2011 / Cilt: 22 - Sayı: 6

Mezanşimal stromalı bilier kistadenomun preoperatif başarılı tanısı ve karakteristik radyolojik bulguları: İki olgu sunumu

Successful preoperative diagnosis of biliary cystadenoma with mesenchymal stroma and its characteristic imaging features: Report of two cases

Pages
631–635
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We provide characteristic figures that are remarkably helpful for the preoperative diagnosis.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:We report two cases of biliary cystadenoma with mesenchymal stroma, in which we reached a preoperative diagnosis.
📊
Key Findings & Data:Second, the wall of the tumor is smooth and septa inside the tumor result in a “cysts-in-cyst” appearance.
💡
Conclusion & Impact:We provide characteristic figures that are remarkably helpful for the preoperative diagnosis.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

We report two cases of biliary cystadenoma with mesenchymal stroma, in which we reached a preoperative diagnosis. There are three characteristics in imaging. First, there is no communication between the tumors and biliary ducts. Second, the wall of the tumor is smooth and septa inside the tumor result in a “cysts-in-cyst” appearance. Third, papillary projections that are characteristic of the intraductal papillary mucinous neoplasm of the bile duct are rarely seen. We provide characteristic figures that are remarkably helpful for the preoperative diagnosis.

Özet

Mezanflimal stromalı bilier kistadenomu olan ve preoperative tanı koydu¤umuz iki olguyu rapor ediyoruz. Radyolojik olarak 3 özelli¤ i vardır. ‹lki, tümörler ve safra kanalı arasında iletiflim yoktur. ‹kincisi, tümörün duvarı düzgündür ve içerisindeki septa “kistin içinde kist” görünümüne sahiptir. Üçüncüsü ise nadiren görülen safra kanalının intraduktal papiller musinöz tümörü için karakteristik olan papiller projeksiyonlardır. Preoperatif tanı için belirgin flekilde yardımcı olan karakteristik figürleri sunuyoruz.

🔖

Cite This Article

NAKAGAWA, M., MATSUDA, M., MASAJI, H., GORO, W. (2011). Mezanşimal stromalı bilier kistadenomun preoperatif başarılı tanısı ve karakteristik radyolojik bulguları: İki olgu sunumu. Turkish Journal of Gastroenterology, Cilt: 22 - Sayı: 6, 631–635. https://ajindex.com/articles/411496

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Wheeler DA, Edmondson HA. Cystadenoma with mesenchymal stroma (CMS) in the liver and bile duct; a clinicopathologic study of 17 cases, 4 with malignant change. Cancer 1985; 15: 1434-45
  2. Subramony C, Herrera GA, Turbat-Herrera EA. Hepatobiliary cystadenoma. A study of five cases with reference to histogenesis. Arch Pathol Lab Med 1993; 11: 1036-42
  3. Manouras A, Markogiannakis H, Lagoudianakis E, Katergiannakis V. Biliary cystadenoma with mesenchymal stroma: report of a case and review of the literature. World J Gastroenterol 2006; 12: 6062-9
  4. Devaney K, Goodman ZD, Ishak KG. Hepatobiliary cystadenoma and cystadenocarcinoma: a light microscopic and immunohistochemical study of 70 patients. Am J Surg Pathol 1994; 18: 1078-91
  5. Akwari OE, Tucer A, Seigler HF. Hepatobiliary cystadenoma with mesenchymal stroma. Ann Surg 1990; 211: 18-27
  6. Hai S, Hirohashi K, Uenishi T, et al. Surgical management of cystic hepatic neoplasms. J Gastroenterol 2003; 38: 759- 64
  7. Gomez-Martin C, Rodriguez A, Malon D, Cortes-Funes H. Biliary cystadenoma with mesenchymal stroma. Clin Transl Oncol 2010; 12: 234-7
  8. Lim JH, Yoon KH, Kim SH, et al. Intraductal papillary mucinous tumor of the bile ducts. Radiographics 2004; 24: 53- 67
  9. Lee JH, Chen DR, Pang SC. Mucinous biliary cystadenoma with mesenchymal stroma: expressions of CA19-9 and carcinoembryonic antigen in serum and cystic fluid. J Gastroenterol 1996; 1: 732-6
  10. Gonzalez M, Majno P, Terraz S, et al. Biliary cystadenoma revealed by obstructive jaundice. Dig Liver Dis 2009; 41: e11-3
  11. Kim K, Choi J, Park Y, et al. Biliary cystadenoma of the liver. J Hepatobiliary Pancreat Surg 1998; 5: 348-52
  12. Shiono S, Suda K, Nobukawa B, et al. Pancreatic, hepatic, splenic, and mesenteric mucinous cystic neoplasms (MCN) are lumped together as extra ovarian MCN. Pathol Int 2006; 56: 71-7.