PMID: 9187552Jan 1, 1996Paper

Squamous cell carcinoma of the liver originating from a solitary non-parasitic cyst case report and review of the literature

HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery
A WeimannR Pichlmayr

Abstract

Squamous cell carcinoma of the liver arising from a non-parasitic cyst is a rare entity of a primary liver tumor with an unfavourable prognosis. We report a case of a patient with a cyst in the right lobe leading to upper abdominal symptoms and respiratory discomfort. Malignancy was not suspected from the clinical findings or repeated cytological examination of the cyst fluid. However, the blood stained brown color of the cyst fluid was unusual. Cyst recurrence after six attempts of conservative treatment with sonography guided drainage over a period for more than one year led to laparotomy with cyst unroofing. Because frozen section from the cyst wall revealed the unexpected finding of squamous cell carcinoma right hemihepatectomy was performed during the same operation. The patient is alive more than four years after surgery without cyst or tumor recurrence. The difficulties in establishing diagnosis are confirmed by the review of other reports. In the diagnosis and treatment of symptomatic non-parasitic liver cysts possible malignancy has to be considered. In case of proven carcinoma radical surgery with partial hepatectomy should be performed.

Citations

Sep 1, 2006·Digestive Diseases and Sciences·Bülent OdemişNesrin Turhan
Dec 13, 2006·Digestive Diseases and Sciences·G GarceaD P Berry
Nov 17, 2012·World Journal of Gastroenterology : WJG·Ke-Lei ZhuCun-Bing Jiang
Nov 18, 2014·Case Reports in Pathology·Johan KirkegaardJane Preuss Hasselby
Apr 1, 2013·Clinical Journal of Gastroenterology·Kiyoto MoritoHirokazu Noshiro
Apr 6, 2016·Clinical and Molecular Hepatology·Tae Kyung YooHong Joo Kim
Mar 13, 2010·Journal of Pediatric Surgery·Hart Isaacs
Feb 24, 2001·Clinics in Liver Disease·H Mani, D H Van Thiel
Sep 17, 2004·European Journal of Gastroenterology & Hepatology·Hiroshi YagiMasaki Kitajima

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