REPORT OF A CASE UNDERGONE HEMIGASTRECTOMY AND LEFT LOBECTOMY FOR A CYSTADENOCARCINOMA OF THE LIVER

Abstract

A 68-year-old man was admitted to the hospital because of a sensation of fullness in the abdomen and right hypochondralgia. A diagnosis of cystadenocarcinoma of the liver was made by analysis of various diagnosticimagings. Hemigastrectomy and left hepatic lobectomy were performed. Cystadenocarcinoma of the liver is a relatively rare disease, though the case report been increasingly seen in the recent years. As the method of the preoparative diagnosis of the cystadenocarcinoma has not been yet established, we cannot help relying on the comprehensive analysis of various diagnostic imagings. In this case, a preoperative histopathological diagnosis was not made but magnetic resonance imaging (MRI) could offer characteristics of the internal structure of cystadenocarcinoma. MRI can be recommended to qualitative diagnosis of the disease. The classification of cystadenocarcinomas of the liver has been proposed in terms of the pathogenesis. According to the classification, cystadenocarcinoma of the liver in this case is thought to have grown up as an adenocarcinoma from the onset, on the basis of a fact that mucinous cancer cells were noted in the surrounding wall of the cyst.