Xu RM, Li XR, Liu LH, Zheng WQ, Zhou H, Wang XC. Intrahepatic biliary cystadenoma: A case report . World J Clin Cases 2020; 8(22): 5670-5677 [PMID: 33344559 DOI: 10.12998/wjcc.v8.i22.5670]
Corresponding Author of This Article
Xiao-Chun Wang, PhD, Professor, Department of Radiology, First Hospital of Shanxi Medical University, No. 85 Jiefang South Road, Taiyuan 030001, Shanxi Province, China. 2010xiaochun@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Ruo-Mei Xu, Xiao-Ru Li, Lin-Han Liu, Wen-Qiao Zheng, Hui Zhou, College of Medical Imaging, Shanxi Medical University, Taiyuan 030001, Shanxi Province, China
Xiao-Chun Wang, Department of Radiology, First Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi Province, China
Author contributions: Xu RM reviewed the literature and contributed to manuscript drafting; Li XR acquired the clinical data; Liu LH performed the pathological analysis; Zheng WQ offered the conception of the work; Zhou H designed the table; Wang XC revised the manuscript to be submitted; all authors have read and approved the final manuscript.
Supported bythe National Natural Science Foundation of China, Nos. 81971592, 81971593, and 81771824; and the Key Research and Development Projects of Shanxi Province, No. 201903D321189.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Chun Wang, PhD, Professor, Department of Radiology, First Hospital of Shanxi Medical University, No. 85 Jiefang South Road, Taiyuan 030001, Shanxi Province, China. 2010xiaochun@163.com
Received: June 8, 2020 Peer-review started: June 8, 2020 First decision: September 13, 2020 Revised: September 17, 2020 Accepted: September 26, 2020 Article in press: September 26, 2020 Published online: November 26, 2020
Abstract
BACKGROUND
Biliary cystadenoma (BCA) is a rare benign tumor, accounting for only 5% of reported cystic lesions of the liver. Given its potential for malignancy and high rate of recurrence, surgical resection is the preferred treatment. Therefore, early and accurate preoperative diagnosis is critical to the choice of treatment. We here report the first male case of BCA in our hospital, diagnosed by our team and confirmed by pathological biopsy. This article aims to improve the understanding of this disease and help make a correct diagnosis to better manage it.
CASE SUMMARY
A 58-year-old man with irregular abdominal discomfort came to our clinic and was found to have a distended abdomen during physical examination. Computed tomography and magnetic resonance imaging both showed a huge cystic mass in the liver. The patient underwent left hepatic lobectomy, cholecystectomy, and liver cyst fenestration, and most of the masses had decreased in size as of the 6-mo follow-up. The pathological diagnosis was consistent with BCA, and no recurrence was detected after the surgery. BCA occurred mainly in middle-aged women. To the best of our knowledge, this patient is the 11th male case of BCA reported in the literature.
CONCLUSION
The combination of magnetic resonance imaging and magnetic resonance cholangiopancreatography is of great significance for the early accurate diagnosis of the disease and the choice of surgical methods.
Core Tip: We report the first male case of biliary cystadenoma (BCA) in our hospital confirmed by pathology, review its clinical, imaging, and pathological features, and compare them to those of past cases. There are certain image features of BCA. The combined use of magnetic resonance imaging and magnetic resonance cholangiopancreatography improves the rate of detection of BCA and facilitates the identification of hepatic cysts.
