Skip Navigation
Skip to contents

KMJ : Kosin Medical Journal

OPEN ACCESS
SEARCH
Search

Author index

Page Path
HOME > Browse articles > Author index
Search
Min Gyu Seok 1 Article
Biliary Cystadenoma Causing Esophageal Varices
Sung Ju Kang, Tae Hee Lee, Min Gyu Seok, Hyo Jin Yun, Ye Seul Jang, Jun Hyun Byun
Kosin Med J. 2016;31(2):191-196.   Published online January 20, 2016
DOI: https://doi.org/10.7180/kmj.2016.31.2.191
  • 285 View
  • 3 Download
Abstract PDFPubReader   ePub   CrossRef-TDMCrossref - TDM
Abstract

Biliary cystadenomas are benign but potentially malignant cystic neoplasm. The preferred treatment is radical resection because it is difficult to differentiate a benign from a malignant biliary cystadenoma. A 40 year-old woman presented with moderate abdominal discomfort. Esophageal varix was found up to mid-esophagus on endoscopy. She has no prior history of liver disease or chronic alcohol ingestion. About 15cm sized biliary cystadenoma was diagnosed by ultrasonography, computed tomography and magnetic resonance imaging. Serum level of bilirubin, alanine aminotransferase, alkaline phosphatase, gamma-glutamyl transpeptidase and tumor marker were elevated. The patient underwent US-guided aspiration. Tumor markers from the aspirated fluid are increased. Left hepatectomy was performed to completely remove the cyst. Histology of the resected specimen confirmed a biliary cystadenoma of the liver with ovary-like stroma. Without prior history of liver disease or chronic alcoholic ingestion, incidental finding of esophageal varix could show an important clue for diagnosis of biliary cystadenoma.


KMJ : Kosin Medical Journal