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. 2012:2012:298957.
doi: 10.1155/2012/298957. Epub 2012 Nov 1.

Hepatobiliary cystadenocarcinoma

Neal Wilkinson  1
Affiliations

Hepatobiliary cystadenocarcinoma

Neal Wilkinson. Case Reports Hepatol. 2012.

Abstract

Biliary cystadenocarcinomas are rare tumors that are poorly understood. Preoperative imaging is imprecise and treatment is not standardized. We describe the presentation and treatment of one of these rare tumors and review the limited published literature.

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Figures

Figure 1
Figure 1
MRI demonstrates left hepatic biliary system is narrowed/occluded although a discrete mass is not well seen. MRCP demonstrates the cystic/dilated left biliary system with stricture/mass noted at the left and common bile duct junction (arrow).
Figure 2
Figure 2
At exploration numerous cystic abnormalities were seen at the liver capsule (arrows). Initial impression was that these represented metastatic satellite lesion but proved to be simply ductal dilatation (a). Resection of the common bile duct with en bloc left hepatectomy, caudate resection, and regional lymphadenectomy was performed with a Roux en Y hepaticojejunostomy (b).
Figure 3
Figure 3
Resected specimen showing polypoid mass arising from a dilated biliary system (arrow).
Figure 4
Figure 4
Histologic examination atypical glands (adenocarcinoma) infiltrating spindled mesenchymal stroma 200x.
See this image and copyright information in PMC

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