Type:
Educational Exhibit
Keywords:
Cysts, Education, Computer Applications-3D, Ultrasound, MR, CT, Liver, Biliary Tract / Gallbladder, Abdomen
Authors:
D. A. Camacho Riaño1, M. García de las Heras Rodríguez1, D. Domínguez Dunán1, A. Gil Sierra1, M. SANCHEZ GARCIA2; 1Madrid/ES, 2MOSTOLES-MADRID/ES
DOI:
10.1594/ecr2013/C-2585
Background
Hepatobiliary cystadenomas are rare cystic lesions (4.6%),
more common in middle-aged women.
These lesions may be single or multiples that they are benign but with a high malignant potential.
The signs and symptoms presented by patients most often are usually secondary to mass effect and include among other.
- Asthenia
- Weight Loss
- Cholestasis
- Ascites
- Partial bowel obstruction
- etc...
Laboratory tests are nonspecific presenting in some cases elevated levels of Ca 19.9 (rare histologic subtype called (CAB) with mesenchymal stroma) whose levels usually decrease after surgery.
When the patient is symptomatic,
these lesions reach a significant size and the clinical and radiological Cistadenoma de Via Biliar,
the treatment is surgical exeresis.
We use the radiological images for the differential diagnosis with other cystic lesions similar (Look over Table 1),
for evaluating the most appropriate treatment of these patients although its definitive diagnosis is pathological.