Ramavath Krishna, Kaman Lileswar, Gupta Ashish, Singh Abhinav, Das Asim
Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Department of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Ann Hepatobiliary Pancreat Surg. 2020 Feb;24(1):85-89. doi: 10.14701/ahbps.2020.24.1.85. Epub 2020 Feb 27.
The advancement of radiological investigations has led to the early and incidental detection of hepatic cystic lesions. These are most commonly the simple cysts but can be malignant as well. Despite the recent advances, these lesions still pose a diagnostic as well as therapeutic challenge. The biliary cystadenomas and carcinomas form around 5% of all the malignant cystic lesions of liver. These lesions are hardly diagnosed preoperatively and are usually a histopathological surprise. They warrant a surgical excision. Herewith, the authors are describing a case of cystic hepatic neoplasm initially misdiagnosed as hydatid cyst of liver and discovered to be a vascular cystic lesion intraoperatively. This patient underwent resection of the lesion and was discovered to harbour biliary cystadenoma on histopathological specimen.
放射学检查的进展使得肝脏囊性病变得以早期偶然发现。这些病变最常见的是单纯囊肿，但也可能是恶性的。尽管有了最近的进展，但这些病变在诊断和治疗方面仍然构成挑战。胆管囊腺瘤和癌约占肝脏所有恶性囊性病变的5%。这些病变术前很难诊断，通常在组织病理学检查时才意外发现。它们需要手术切除。在此，作者描述了一例肝脏囊性肿瘤病例，最初被误诊为肝包虫囊肿，术中发现是血管性囊性病变。该患者接受了病变切除，组织病理学标本显示为胆管囊腺瘤。
