Open Right Hepatectomy to Treat a Giant Liver Cystadenoma: A Case Report

Silva Neto OG, Gomide LLMS, Correa BLO, Teixeira Lima OA and Pais-Costa SRc

Department of General Surgery, University of Brasília, Brazil

^*Correspondance to: Pais-Costa SR 

 PDF  Full Text DOI: 10.25107/2474-1647.2355

Abstract

Background: Hepatic cystadenomas are rare tumors occurring mainly in women representing about 5% of reported cystic lesions of the liver. Most occur in middle age women and they usually are incidental findings. They can cause compressive symptoms due to their large size. Because of their malignant potential and high rates of recurrences surgical treatment becomes necessary.
Case Report: A 38 year old female presented a complex hepatic cyst in the right lobe that had presented an important growing over the last two years. Physical examination revealed a giant palpable mass in all right superior quadrant of abdomen. Computerized Tomography (CT) showed an 18 cm × 15 cm complex cystic mass with septae and central solid area in the right lobe. She underwent an open right hepatectomy without intercurrences and a histological analysis confirmed a liver cystadenoma. Atypia areas were observed in the lesion (without malignant invasive transformation). To date, one year late she is alive without either symptoms or recurrence.
Conclusion: Giant cystadenomas are rare tumors that are associated with high rates of recurrence and potential for malignancy. Total resection of the lesion even performing a major hepatectomy is advisable in order to prevent recurrences and to treat an incidental malignant neoplasm.

Keywords

Cystadenoma; Hepatic cystadenoma/surgery; Hepatobiliary cystadenoma; CA 19.9; Liver/surgery; Hepatectomy

Cite the article

Silva Neto OG, Gomide LLMS, Correa BLO, Teixeira Lima OA, Pais-Costa SR. Open Right Hepatectomy to Treat a Giant Liver Cystadenoma: A Case Report. Clin Surg. 2019; 4: 2355.