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Accession number;03A0117089
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| Title;A Case of Hepatobiliary Cystadenoma with Remarkable Extrahepatic Growth. |
| Author;
NOMURA TAKASHI
(Yamagata Univ.)
FUSE AKIRA
(Yamagata Univ.)
KARUBE YASUAKI
(Yamagata Univ.)
OZAWA KOICHIRO
(Yamagata Univ.)
KASUKAWA TOSHIHIKO
(Takahata Country Hospital, JPN)
KIMURA WATARU
(Yamagata Univ.)
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Journal Title;Journal of Japan Surgical Association
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Journal Code:Z0103A
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ISSN:1345-2843
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VOL.64;NO.1;PAGE.153-158(2003)
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| Figure&Table&Reference;FIG.8, REF.31 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;A 29-year-old woman who had noticed an abdominal tumor was seen at our hospital. A tumor the size of a child's head was palpable in her left upper abdomen, and the tumor moved to her lower abdomen during her hospitalization. A CT examination showed a giant multilocular cystic tumor with a solid component occupying the area from her left upper abdomen to her pelvis. An omental or mesenteric tumor was suspected because of its mobility, but characteristics similar to those of a pancreatic mucinous tumor were also present. However, the top of the tumor was located in front of the stomach, so a pancreatic origin was ruled out. The tumor was finally concluded to have originated from the liver because an angiogram showed that a branch of the left hepatic artery was feeding the tumor. Under a diagnosis of hepatobiliary cystadenoma or carcinoma, an operation was performed. The tumor arose extrahepatically from the lateral segment of the liver and was extripated by a hepatectomy. The tumor was 22 cm in diameter and weighed 1955 g. The histopathological diagnosis was hepatobiliary cystadenoma. A preoperative diagnosis was difficult in this case because hepatobiliary cystadenoma is a rare neoplasm and the present case exhibited marked extrahepatic growth. (author abst.) |
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