Abstract
Biliary cystadenoma is a rare epithelial cystic neoplasm representing only 5% of intrahepatic cystic lesions of biliary origin. Commonly, the lesions are solitary cystic structures with multiple thin-walled septa predominantly arising from the right hepatic duct. Although the lesions are generally intrahepatic, extrahepatic tumors have been reported. Biliary cystadenomas range in diameter from 1.5 to 35 cm. The tumor usually affects middle-aged women. Clinical symptoms are related to the mass effect and comprise episodes of jaundice due to biliary obstruction and intermittent upper abdominal pain. Laboratory parameters are nonspecific. As the tumor is considered a premalignant lesion, complete surgical resection is the treatment of choice. We report a case of typical biliary cystadenoma of the left hepatic duct.
Similar content being viewed by others
References
Ishak K, Willis P, Cummins S et al (1977) Biliary cystadenoma and cystadenocarcinoma: report of 14 cases and review of the literature. Cancer 39:322–338
Murphy BJ, Casillas J, Ros PR et al (1989) The CT appearance of cystic masses of the liver. Radiographics 9:307–322
Palacios E, Shannon M, Solomon C et al (1990) Biliary cystadenoma: ultrasound, CT, and MRI. Gastrointest Radiol 15:313–316
Buetow PC, Midkiff RB (1997) Primary malignant neoplasms in the adult. Magn Reson Imaging Clin N Am 5:289–318
Sutton CD, White SA, Berry DP et al (2000) Intrahepatic biliary cystadenoma causing luminal common bile duct obstruction. Dig Surg 17:297–299
Mortele KJ, Ros PR (2001) Cystic focal liver lesions in the adult: differential CT and MR imaging features. Radiographics 21:895–910
van Sonnenberg E, Wroblicka JT, D’Agostino HB et al (1994) Symptomatic hepatic cysts: percutaneous drainage and sclerosis. Radiology 190:387–392
Mathieu D, Vilgrain V, Mahfouz A et al (1997) Benign liver tumors. Magn Reson Imaging Clin N Am 5:255–288
Choi BI, Yeon KM, Kim SH, Han MC (1990) Caroli disease: central dot sign in CT. Radiology 174:161–163
Semelka RC, Hussain SM, Marcos HB et al (1999) Biliary hamartomas: solitary and multiple lesions shown on current MR techniques including gadolinium enhancement. J Magn Reson Imaging 10:196–201
Mergo PJ, Ros PR (1997) MR imaging of inflammatory disease of the liver. Magn Reson Imaging Clin N Am 5:367–376
De Liego J, Lecumberri FJ, Francquet T et al (1982) Computed tomography in hepatic echinococcosis. AJR Am J Roentgenol 13:699–702
Marani SA, Canossi GC, Nicoli FA et al (1990) Hydatid disease: MR imaging study. Radiology 175:701–706
Coskun A, Ozturk M, Karahan OI, Erdogan N, Isin S, Gulec M (2004) Alveolar echinococcosis of the liver: correlative color Doppler US, CT, and MRI study. Acta Radiol 45(5):492–498
Mendez RJ, Schiebler ML, Outwater EK et al (1994) Hepatic abscesses: MR imaging findings. Radiology 190:431–436
Powers C, Ros PR, Stoupis C et al (1994) Primary liver neoplasms: MR imaging with pathologic correlation. Radiographics 14:459–482
Vilgrain V, Boulos L, Vullierme MP et al (2000) Imaging of atypical hemangiomas of the liver with pathologic correlation. Radiographics 20:379–397
Lewis KH, Chezmar JL (1997) Hepatic metastases. Magn Reson Imaging Clin N Am 5:319–330
Sugawara Y, Yamamoto J, Yamasaki S et al (2000) Cystic liver metastases from colorectal cancer. J Surg Oncol 74:148–152
Okuda K, Sugita S (1998) Hepatobiliary images. Pancreatic pseudocysts in the liver. J Gastroenterol Hepatol 13(4):433–436
Soyer P, Bluemke DA, Fishman EK et al (1998) Fluid-fluid levels within focal hepatic lesions: imaging appearance and etiology. Abdom Imaging 23:161–165
Shigemura T, Yamamoto F, Shilpakar SK, et al (1995) MRI differential diagnosis of intrahepatic biloma from subacute hematoma. Abdom Imaging 20(3):211–213
Devaney K, Goodman Z, Ishak K (1994) Hepatobiliary cystadenoma and cystadenocarcinoma: a light microscopic and immunohistochemical study of 70 patients. Am J Surg Pathol 18:1078–1091
Gigot JF, Metairie S, Etienne J, Horsmans Y et al (2001) The surgical management of congenital liver cysts. Surg Endosc 15:357–363
Author information
Authors and Affiliations
Corresponding author
Additional information
Precisely correct answers were received by closing date from:
Canan ALTAY, Erzurum, Turkey
Julie ARORA, Dubai, UAE
N CHIDAMBARANATHAN, Chennai, India
Haris CHRYSIKOPOULOS, Kekyra, Greece
Alberto CUNAT, Valencia, Spain
Kemal DEMIR, Istanbul, Turkey
Thaworn DENDUMRONGSUP, Songkla, Thailand
Jose GALLEGO, Ferrol, Spain
Ram Prakash GALWA, Chandigarh, India
Bruno GRACA, Coimbra, Portugal
Nevzat KARABULUT, Denizli, Turkey
NBS MANI, Nassau, Bahamas
Vassilios MANIATIS, Palini, Greece
Manabu MINAMI, Ibaraki, Japan
Sankar MONDAL, Nassau, Bahamas
Simona Secci SELARGIUS, Italy
Annemie SNOECKX, Antwerp, Belgium
Charikleia TRIANTOPOULOU, Athens, Greece
Panagiots TSIRKINIDIS, Attiki, Greece
Meric TUZUN, Ankara, Turkey
Filip VANHOENACKER, Duffel, Belgium
Eric WOO, Stoke Mandeville, England
Navid ZENOOZ, Ohio, USA
Rights and permissions
About this article
Cite this article
Seidel, R., Weinrich, M., Pistorius, G. et al. Biliary cystadenoma of the left intrahepatic duct (2007: 2b). Eur Radiol 17, 1380–1383 (2007). https://doi.org/10.1007/s00330-006-0475-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00330-006-0475-z