Treatment strategy for patients with cystic lesions mimicking a liver tumor: a recent 10-year surgical experience in Japan

Archives of Surgery
Mitsuo ShimadaK Sugimachi

Abstract

To clarify some of the difficulties in determining the appropriate surgical indications for cystic lesions mimicking a neoplasm in the liver. A retrospective review of hepatic resections for cystic lesions mimicking a neoplasm in the liver between August 1, 1986, and July 31, 1996. A university hospital with a long history of hepatic resection for cystic lesions mimicking a neoplasm in the liver. Ten patients with such cystic lesions in the liver, who underwent a hepatectomy during a recent 10-year period, were included in this study. Detailed clinicopathologic data were analyzed, and comparisons were made between the preoperative and postoperative diagnoses. The postoperative diagnoses consisted of cysts, including cysts complicated by an infection or hemorrhage in 7 patients, localized cystic dilation of the bile duct due to hepatolithiasis in 1, cystadenoma in 1, and mucin-producing cholangiocarcinoma in 1. In only one case was postoperative diagnosis identical to the preoperative diagnosis. In one case, an intraoperative pathological examination showed the tumor to be a mucin-producing cholangiocarcinoma instead of a cystadenocarcinoma. A tumor-marker analysis of the fluid in the cystic lesions also did not contribute to a ...Continue Reading

Citations

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