[症例報告]Multiple Cystadenomas of the Liver : Report of A Case

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A case of multiple cystadenomas of the liver in a 62-year-old woman is described. The patient had an 8-year history of multiple liver cysts. On admission, CT revealed a papilJary projection into the cyst of the posteroinferior segment (S_7) of the cysts and its cyst fluid tumor marker levels was abnormally elevated. At surgery, multiple unilocular and multilocular cysts with a number of nodules were found with extra-hepatic growth and our tentative diagnosis was macroscopicaly advanced adenocarcinoma. Yet, curative resection was thought not to be possible. Cystectomy of the lateral lobe which protruded into the stomach and biopsy of cysts with nodule in anteroinferior segment (S_5) were then done, and ethanol or Mitomycin C was injected into the remaining cysts. The diagnosis of congenital cysts with cystadenomas was confirmed histologically. There should be a careful followed-up of the patient because the congenital cyst and biliary cystadenoma of the liver sometimes develop combined cystadenocarcinoma.

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