Department of General Surgery, Faculty of Medicine, Gastrointestinal Surgical Center GISC, Mansoura University, Gehan Street, Mansoura, Al Dakahlia Governorate, 35511, Egypt.
Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Langenbecks Arch Surg. 2023 Jul 11;408(1):273. doi: 10.1007/s00423-023-02994-2.
Biliary cystic neoplasms (BCNs) of the liver are rare pathologies encountered in hepatobiliary surgeries. Till now, there is a lack of definitive criteria used to differentiate biliary cystadenoma (BCA) from biliary cystadenocarcinoma (BCAC).
In the period between 2005 and 2018, the data of consecutive patients diagnosed with BCA and BCAC were retrospectively reviewed.
A total of 62 patients underwent surgical management for BCNs. BCA was diagnosed in 50 patients while 12 patients had BCAC. Old age, male gender, smoking, and abdominal pain were strongly associated with BCAC. Left lobe location, small size, with the presence of mural nodule, and solid component were significantly noticed with BCAC. A novel pre-operative score was developed to predict the susceptibility for BCAC and help us to identify the optimal surgical strategy. Blood loss, operative time, and complications were comparable between the two study groups.
Mural nodules or solid components are suggestive of BCAC. Complete surgical resection of cystic tumors of the liver is mandatory due to malignant potential of the lesion and for prolonged survival.
肝内胆管囊性肿瘤（BCN）是肝胆外科中罕见的病变。到目前为止，还缺乏用于区分胆管囊腺瘤（BCA）和胆管囊腺癌（BCAC）的明确标准。
回顾性分析 2005 年至 2018 年间连续诊断为 BCA 和 BCAC 的患者数据。
共有 62 例患者接受了 BCN 的手术治疗。诊断为 BCA 的患者 50 例，BCAC 患者 12 例。高龄、男性、吸烟和腹痛与 BCAC 密切相关。左叶位置、小肿瘤大小、壁结节和实性成分与 BCAC 显著相关。我们开发了一种新的术前评分来预测 BCAC 的易感性，并帮助我们确定最佳的手术策略。两组患者的失血量、手术时间和并发症无显著差异。
壁结节或实性成分提示 BCAC。由于病变的恶性潜能和延长的生存时间，肝囊性肿瘤的完全手术切除是强制性的。
