Document Detail

Mucinous Cystic Neoplasm or Non-Parasitic Liver Cyst? - A Challenging Diagnosis.
MedLine Citation:
PMID:  23282739     Owner:  NLM     Status:  Publisher    
Background/Aims: Mucinous cystic neoplasms (MCN) are rare liver lesions. Radiological features include internal septa or septal thickening. Imaging often fails in the differential diagnosis to non-parasitic liver cysts (NPLC), resulting in inadequate surgery. The aim of the study was to evaluate if both lesions could be differentiated pre-operatively. Methodology: Retrospective study with literature review. Results: Twenty-six patients (22 female, 68±12 years) underwent laparoscopic deroofing for NPLC. Histo-pathological specimens showed 2 MCN (both female) with recurrence rates of 4% (NPLC) and 100% (MCN), and a time-to-recurrence of 3 months. In both cases no radiological features of MCN were seen pre-operatively. Follow-up time was 7 and 12 years with emergence of radiological features of MCN in one case. PubMed search showed 137 hits for "MCN" and 540 hits for "mucinous cystadenoma" and "liver"; 207 studies were reviewed: one prospective, 13 non-systematic reviews, 57 retrospective, 120 case reports and 16 expert opinions. The largest MCN-series included 44 subjects. Conclusions: If MCN shows no characteristic radiological features, thus mimicking NPLC, pre-operative radiological differentiation is impossible. During long time course characteristic radiological morphology of MCN could appear. Early recurrence of a supposed NPLC is suspicious for MCN. Due to the literature review pre-operative imaging is inaccurate for the differential diagnosis and complete surgical excision of MCN is crucial.
Roger Wahba; Robert Kleinert; Georg Dieplinger; Christopher Bangard; Uta Drebber; Arnulf H Huflscher; Dirk L Stippel
Related Documents :
16338579 - Salzmann's-like nodular degeneration following laser in situ keratomileusis.
24369329 - Development of multiple focal nodular hyperplasia lesions after portocaval shunting. a ...
23483359 - Quantitative liver adc measurements using diffusion-weighted mri at 3 tesla: evaluatio...
20037899 - Use of amniotic membrane transplantation in isolated conjunctival bowen disease: a case...
7305709 - Are most iris "melanomas' really nevi? a clinicopathologic study of 189 lesions.
23313189 - Incidental hyperdensities within the reticuloendothelial system.
22120809 - Successfully treated mycobacterium abscessus mastitis: a rare cause of breast masses.
10917179 - Primary vaginal adenocarcinoma arising from the metanephric duct remnant.
9218909 - False-negative diagnosis in fine-needle aspirations of squamous-cell carcinoma of head ...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-3
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  60     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Diagnosis and Management Experience of Adult Choledochal Cysts: Reasons for Reoperation.
Next Document:  Continuous Ultrasound Navigation for Safe and Precise Anatomic Resection of the Liver.