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    Extrahepatic biliary cystadenoma with mesenchymal stroma: a true biliary cystadenoma? A case report.

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    Authors
    Hennessey, Derek B
    Traynor, Oscar
    Affiliation
    Department of Hepatobiliary and Liver Transplant Surgery, St. Vincent's, University Hospital, Elm Park, Dublin, Ireland. derek.hennessey@gmail.com
    Issue Date
    2012-02-01T10:29:01Z
    MeSH
    Anastomosis, Roux-en-Y
    Bile Duct Neoplasms/complications/*diagnosis/surgery
    Cystadenoma/complications/*diagnosis/surgery
    Female
    Gastrointestinal Stromal Tumors/complications/*diagnosis/secondary/surgery
    *Hepatic Duct, Common
    Humans
    Middle Aged
    Ovarian Neoplasms/complications/*diagnosis/secondary/surgery
    Tomography, X-Ray Computed
    Ultrasonography
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    Citation
    J Gastrointestin Liver Dis. 2011 Jun;20(2):209-11.
    Journal
    Journal of gastrointestinal and liver diseases : JGLD
    URI
    http://hdl.handle.net/10147/207480
    PubMed ID
    21725521
    Abstract
    Biliary cystadenomas are benign but potentially malignant cystic neoplasms, which classically contain mesenchymal stroma similar to ovarian tissue. We report a case of an extra-hepatic biliary cystadenoma with mesenchymal stroma along with a discussion of current pathological opinion. CASE PRESENTATION: A 54-year-old female presented with abdominal pain, abnormal liver function tests and a mass on ultrasound. Computerized Tomography identified a complex multi-locular cyst in the common hepatic duct. Radical excision of the lesion and a Roux-en-Y loop bilio-enteric anastomosis was performed. Histology confirmed the presence of a benign biliary cystadenoma with ovarian type stroma. CONCLUSION: Biliary cystadenomas classically contain mesenchymal stroma similar to ovarian tissue. It now appears that cystadenomas without mesenchymal stroma appear to be more akin to similar cystic lesions of the pancreas, and may represent a dissimilar neoplasm. Therefore, malignant transformation can occur, so complete excision is recommended.
    Language
    eng
    ISSN
    1842-1121 (Electronic)
    1841-8724 (Linking)
    Collections
    St. Vincent's University Hospital

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