Abstract

Biliary cystadenoma (BCA) is a rare tumor which is difficult to diagnose before surgery. We present a case of 73 years old woman with a previous histological diagnosis of biliary cystadenoma occurred in 2009, surgically removed. In January 2018, abdomen Computerized Tomography scan (CTs) showed a 65 mm diameter cystic mass in the fifth hepatic segment. Even if the patient refused to undergo surgical resection due to her several comorbilities, imaging features and clinical history are suggestive for BCA recurrence.

Highlights

  • Biliary cystadenomas are uncommon benign cystic neoplasms of the liver

  • Cystadenomas are composed of multiple cysts lined by cuboidal or columnar epithelium that resembles normal biliary epithelium

  • We present a case of 73-years-old woman with a previous histological diagnosis of biliary cystadenoma with HCV-related liver cirrhosis

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Summary

Introduction

Biliary cystadenomas are uncommon benign cystic neoplasms of the liver. Biliary cystadenomas occur predominantly in middle-aged patients and are more common in women. Biliary cystadenomas are cystic neoplasms that may be either unilocular or multilocular. Diagnosis of biliary cystadenoma can be challenging and is one of exclusion because other cystic lesions, such as hepatic simple cyst, have a similar appearance.

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