肝ｃｙｓｔａｄｅｎｏｃａｒｃｉｎｏｍａの１例

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  • A CASE OF CYSTADENOCARCINOMA OF THE LIVER

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A 70-year-old man was admitted to the hospital because of dyspnea on effort on December 9, 1997. Under a diagnosis of pulmonary embolism, thrombolytic therapy was administered. On follow-up CT scan, remission of embolism was confirmed, but a liver tumor was detected incidentally. CT scan showed a papillary projection in a cystic tumor occupied the periphery of the left lateral segment showing an extrahepatic growth. Abdominal magnetic resonance imaging (MRI) scan showed a well-circumscribed cystic tumor revealing low and high intensity on T1-and T2-weighted images, respectively. Abdominal angiography revealed a hypovascular tumor and no tumor stain was observed. No elevation of tumor markers was noted. A lateral segmentectomy was carried out with a diagnosis of cystadenoma of the liver. Histopathologically, the tumor was cystadenocarcinoma.<br>Since cystadenocarcinomas of the liver are relatively rare, we report on this case with some bibliographical comments.

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