Biliary cystadenoma and cystadenocarcinoma surgery: Difference between revisions
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==Overview== | ==Overview== | ||
==Surgery== | ==Surgery== | ||
The possibility for recurrence or malignant transformation justify an aggressive approach to cystadenoma. While aspiration, sclerosis, drainage, internal Roux-en-Y drainage, partial resection and marsupialization of cystadenoma always results in recurrence and occasional malignant degeneration, total excision of the cyst is widely supported. However, treatment of cystadenoma should include total excision of the tumor by standard hepatic resection. It has been reported, on 15 patients, that resection of biliary cystadenoma was successfully used with rare complications and no recurrences. Other authors reported no mortality or late recurrence after cystic enucleation. However, since the biliary cystadenoma is often adherent to large biliary and vascular structures, enucleation must be performed with caution. | The possibility for recurrence or malignant transformation justify an aggressive approach to cystadenoma. While aspiration, sclerosis, drainage, internal Roux-en-Y drainage, partial resection and marsupialization of cystadenoma always results in recurrence and occasional malignant degeneration, total excision of the cyst is widely supported. However, treatment of cystadenoma should include total excision of the tumor by standard hepatic resection. It has been reported, on 15 patients, that resection of biliary cystadenoma was successfully used with rare complications and no recurrences. Other authors reported no mortality or late recurrence after cystic enucleation. However, since the biliary cystadenoma is often adherent to large biliary and vascular structures, enucleation must be performed with caution.<ref name="RamacciatoNigri2006">{{cite journal|last1=Ramacciato|first1=Giovanni|last2=Nigri|first2=Giuseppe R|last3=D'Angelo|first3=Francesco|last4=Aurello|first4=Paolo|last5=Bellagamba|first5=Riccardo|last6=Colarossi|first6=Cristina|last7=Pilozzi|first7=Emanuela|last8=Del Gaudio|first8=Massimo|journal=World Journal of Surgical Oncology|volume=4|issue=1|year=2006|pages=76|issn=14777819|doi=10.1186/1477-7819-4-76}}</ref> | ||
==References== | ==References== | ||
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[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
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Revision as of 21:15, 16 November 2015
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Overview
Surgery
The possibility for recurrence or malignant transformation justify an aggressive approach to cystadenoma. While aspiration, sclerosis, drainage, internal Roux-en-Y drainage, partial resection and marsupialization of cystadenoma always results in recurrence and occasional malignant degeneration, total excision of the cyst is widely supported. However, treatment of cystadenoma should include total excision of the tumor by standard hepatic resection. It has been reported, on 15 patients, that resection of biliary cystadenoma was successfully used with rare complications and no recurrences. Other authors reported no mortality or late recurrence after cystic enucleation. However, since the biliary cystadenoma is often adherent to large biliary and vascular structures, enucleation must be performed with caution.[1]