■胆道囊腺瘤(BC)是一种具有退行性潜能的良性肝囊性肿瘤。肝脏MRI有助于指导诊断。由于胆管囊腺瘤的恶性潜力,建议手术切除。只有对手术标本进行解剖病理学检查才能确定BC的明确诊断。本病例报告的目的是增强我们对这种疾病的了解,并有助于精确诊断以实现最佳管理。
方法:一名55岁女性,有高血压和心房颤动病史,因阵发性右侧软骨下痛就诊于外科。超声检查(美国),计算机断层扫描(CT),磁共振成像(MRI)显示一个巨大的分隔性囊性病变占据II段,III,和肝脏的IV。患者接受了左肝切除术,没有发生任何事件。术后过程以与横截面相反的深集合为标志,用抗生素和放射引流成功治疗。病理诊断证实BC无恶性肿瘤征象,术后未发现复发.
■BC的稀有性,缺乏特定的临床体征及其恶性转化的可能性,强调需要复杂的成像技术。然而,术前放射学诊断不超过50%.手术决定需要放射科医生和外科医生之间的多学科讨论。此病例突显了在术前强烈怀疑BC的情况下无法进行根治性手术治疗。病理学家在组织学诊断中的合作至关重要。
结论:在肝多房性囊性病变的情况下,应考虑BC的诊断,特别是在复发性囊肿的情况下。成像有助于阳性和鉴别诊断。完全切除是任何可疑BC的推荐治疗。
UNASSIGNED: Biliary cystadenoma (BC) is a benign hepatic cystic tumor with degenerative potential. Hepatic MRI can help guide the diagnosis. Surgical resection is recommended due to the malignant potential of biliary cystadenomas. Only anatomopathological examination of the surgical specimen can establish the definitive diagnosis of BC. The objective of this case report is to enhance our understanding of this disease and contribute to precise diagnosis for optimal management.
METHODS: A 55-year-old woman with a history of hypertension and atrial fibrillation presented to the surgery department with paroxysmal right hypochondrial pain. Ultrasonography (US), computed tomography (CT), and magnetic resonance imaging (MRI) revealed a large septated cystic lesion occupying segments II, III, and IV of the liver. The patient underwent left hepatectomy without incident. The postoperative course was marked by a deep collection opposite the sectional area, which was successfully treated with antibiotics and radiological drainage. The pathological diagnosis confirmed BC without signs of malignancy, and no recurrence was detected post-surgery.
UNASSIGNED: The rarity of BC, the absence of specific clinical signs and its potential for malignant transformation, underline the need for sophisticated imaging techniques. However, preoperative radiological diagnosis does not exceed 50 %. The operative decision requires a multidisciplinary discussion between radiologists and surgeons. This case highlights the unavailability of radical surgical treatment in cases of strong preoperative suspicion of BC. The cooperation of the pathologist in the histological diagnosis is crucial.
CONCLUSIONS: The diagnosis of BC should be considered in cases of multilocular cystic lesions in the liver, particularly in instances of recurrent cysts. Imaging aids in both positive and differential diagnoses. Complete resection is the recommended treatment for any suspected BC.