Koroglu M, Akhan O, Akpinar E, Oto A, Gumus B
Department of Radiology, GATA, Ankara, Türkiye.
JBR-BTR. 2006 Sep-Oct;89(5):261-3.
A case of hepatobiliary cystadenoma with mesenchymal stroma and a case of biliary cystadenocarcinoma are presented. Hepatobiliary cystadenoma and cystadenocarcinoma are rare liver lesions that are difficult to diagnose preoperatively. Regardless of the diagnostic modalities used these two pathologies cannot be differentiated with accuracy. The preoperative diagnosis of biliary cystadenoma and cystadenocarcinoma was suggested due to the radiological detection of vascularity in the septa and the invasion of the thoracoabdominal wall. The surgeon was informed in both of the cases. Pathologic examination confirmed the diagnosis in both of our patients. The radiological features of these pathologies are discussed in detail together with a brief review of the literature.
本文报告1例伴有间充质基质的肝胆管囊腺瘤及1例胆管囊腺癌。肝胆管囊腺瘤和囊腺癌是罕见的肝脏病变，术前难以诊断。无论采用何种诊断方式，这两种病理类型均无法准确鉴别。由于影像学检查发现隔内血管及胸腹壁受侵，提示术前诊断为胆管囊腺瘤和囊腺癌。两例均告知了外科医生。病理检查证实了我们两名患者的诊断。本文详细讨论了这些病变的影像学特征，并对相关文献进行了简要回顾。
