Service de chirurgie digestive et de la transplantation hépatique, hôpital de la Croix-Rousse, 103, Grande-rue-de-la-Croix-Rousse, 69004 Lyon, France.
J Visc Surg. 2012 Dec;149(6):423-5. doi: 10.1016/j.jviscsurg.2012.06.007. Epub 2012 Jul 25.
Biliary cystadenoma is a rare cystic tumor; prognosis is dependent on the completeness of the surgical resection.
The case of a 65-year-old woman with a multilocular cystic hepatic tumor is reported. Radiological and laboratory findings suggested the diagnosis of cystadenoma with localized malignant degeneration.
A surgical resection of hepatic Segment I was performed, requiring total vascular exclusion (TVE) of the liver and a needle aspiration of a non-degenerated cyst to permit total resection.
TVE and decompression of a cyst presumed to be benign may be warranted to achieve a safe and complete resection of biliary cystadenoma.
胆管囊腺瘤是一种罕见的囊性肿瘤；其预后取决于手术切除的完整性。
报告了一例 65 岁女性的多房性囊性肝肿瘤病例。影像学和实验室检查结果提示囊腺瘤伴局部恶性转化的诊断。
行肝段 I 切除术，需要进行全肝血管阻断（TVE）和对非变性囊肿进行针吸，以实现完全切除。
对于胆管囊腺瘤，进行 TVE 和减压可能是安全和完整切除的必要条件。
