Güray CAN, Sedat Alpaslan TUNCEL, Hakan GENÇHELLAÇ, Fulya ÖZPUYAN, Cem İBİŞ

MRI Findings in Biliary Cystadenoma

Biliyer kistadenom karaciğerin nadir görülen bir kistik neoplazmıdır. Kistadenom ifadesi benign süreci düşündürmekle birlikte, bu lezyonlar malign transformasyon potansiyeline sahip olup, cerrahi sonrası da rekürrens riski bulunması nedeniyle dikkatli takip gerektirmektedir. Lezyonun uygun radyolojik görüntülemesi sonrasında yapılacak cerrahi tedavi ile prognoz genellikle mükemmeldir. Biz radyolojik görüntülemenin spesifik tanıya yardımcı olduğu ve cerrahi tedavi uygulanmış, 44 yaşında biliyer kistadenomlu kadın olguyu sunuyoruz

Anahtar Kelimeler:

Kistadenom, safra kanalı, MRG

MRI Findings in Biliary Cystadenoma

Biliary cystadenoma is a rare cystic hepatic neoplasm. We herein present a 44 year-old female patient with biliary cystadenoma focusing on difficulties in diagnosis because of lack of specific findings with imaging, and the need for surgery. As biliary cystadenomas have high recurrence risks and malignant transformation potential, careful follow-up should not be underestimated. Proper surgical resection of the lesion may be considered the most suitable diagnostic and therapeutic procedure, and prognosis is generally excellent after removal of the tumor.

Keywords:

Cystadenoma, biliary tract, MRI,

PDF

___

Korobkin M, Stephens DH, Lee JK, et al. Biliary cystadenoma and cystadenocarcinoma: CT and sonographic findings. AJR Am J Roentgenol 1989;153:507-11.
Woods GL. Biliary cystadenocarcinoma: Case report of hepatic ma- lignancy originating in benign cystadenoma. Cancer 1981;47:2936- 40.
Ishak KG, Willis GW, Cummins SD, Bullock AA. Biliary cystadenoma and cystadenocarcinoma: report of 14 cases and review of the lit- erature. Cancer 1977;39:322-38.
Kimura H, Kagawa K, Deguchi T, et al. Extrahepatic biliary cystad- enocarcinoma arising from the left hepatic duct. J Gastroenterol 1998;33:895-8.
Tsiftsis D, Christodoulakis M, de Bree E, Sanidas E. Primary intrahe- patic biliary cystadenomatous tumors. J Surg Onol, 1997;64:341-6.
Kubota E, Katsumi K, Iida M, et al. Biliary cystadenocarcinoma followed up as benign cystadenoma for 10 years. J Gastroenterol 2003;38:278-82.
Hanazaki K. Intrahepatic biliary cystadenoma demonstrated by intraoperative cholangiography. Hepatogastroenterology 1996;43:1024-8.
Salerno S, Florena AM, Romano I, Miceli L, Lo Casto A. Multifocal biliary cystadenocarcinoma of the liver: CT and pathologic find- ings. Tumori 2006;92:358-60.
Kim HG. Biliary cystic neoplasm: biliary cystadenoma and biliary cystadenocarcinoma. Korean J Gastroenterol 2006;47:5-14.
Mortelé KJ, Ros PR. Cystic focal liver lesions in the adult: differen- tial CT and MR imaging features. Radiographics 2001;21:895-910.
Palacios E, Shannon M, Solomon C, Guzman M. Biliary cystadeno- ma: ultrasound, CT, and MRI. Gastrointest Radiol 1990;15:313-6.
Kinoshita H, Tanimura H, Onishi H, Kasano Y, Uchiyama K, Yamaue H. Clinical features and imaging diagnosis of biliary cystadenocar- cinoma of the liver. Hepatogastroenterology 2001;48:250-2.
Thomas KT, Welch D, Trueblood A, et al. Effective treatment of biliary cystadenoma. Ann Surg 2005;241:769-75.