Biliary cystadenoma and cystadenocarcinoma history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
Symptoms of biliary cystadenoma include abdominal pain in right upper quadrant, abdominal distension, abdominal mass, [[nausea]], and [[vomiting]]. | Symptoms of biliary cystadenoma include abdominal pain in right upper quadrant, abdominal distension, abdominal mass, [[nausea]], and [[vomiting]].<ref name=radio1>Biliary cystadenoma.Dr Yuranga Weerakkody and Radswiki et al.Radiopaedia.org 2015. http://radiopaedia.org/articles/biliary-cystadenoma</ref> | ||
==History and Symptoms== | ==History and Symptoms== | ||
The clinical presentation of biliary cystadenoma is variable, depending on the size and location of the tumor. Pain is considered the leading symptom in most series, being present in about 80% of cases. | The clinical presentation of biliary cystadenoma is variable, depending on the size and location of the tumor. Pain is considered the leading symptom in most series, being present in about 80% of cases. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Symptoms of biliary cystadenoma include abdominal pain in right upper quadrant, abdominal distension, abdominal mass, nausea, and vomiting.[1]
History and Symptoms
The clinical presentation of biliary cystadenoma is variable, depending on the size and location of the tumor. Pain is considered the leading symptom in most series, being present in about 80% of cases.
- Typically, the patient is a middle-aged woman presenting with abdominal pain and/or discomfort, with distension and a palpable mass.[2]
- Acute presentation is often pain due to intracystic hemorrhage or rupture of the cyst and fever secondary to infection of the cyst.
- Rare presentations include vomiting, dyspepsia, anorexia, and weight loss.[2]
- In other cases, non specific signs and symptoms may develop, due to compression of neighboring structures, such as jaundice, signs of cholangitis, cyst infection, hemorrhage.
- Jaundice is either due to an extrinsic compression of the bile duct, biliary obstruction by an intraluminal tumoural mass, or accretion of mucus secretion from a communicating biliary cystadenoma.
- Ascites is secondary to compression of the inferior vena cava or the hepatic veins. Cystadenomas are known to increase in size during pregnancy and following oral contraceptives suggesting hormonal dependency.
- Compression of the vena cava or the portal vein may cause lower limb edema or signs of portal hypertension such as splenomegaly.[3]
- Biliary cystadenomas range in size from 3 to 40 cm. Large cystadenomas may demonstrate mass effect on adjacent organs or may be associated with hepatomegaly.
References
- ↑ Biliary cystadenoma.Dr Yuranga Weerakkody and Radswiki et al.Radiopaedia.org 2015. http://radiopaedia.org/articles/biliary-cystadenoma
- ↑ 2.0 2.1 Ahanatha Pillai, Sastha; Velayutham, Vimalraj; Perumal, Senthilkumar; Ulagendra Perumal, Srinivasan; Lakshmanan, Anand; Ramaswami, Sukumar; Ramasamy, Ravi; Sathyanesan, Jeswanth; Palaniappan, Ravichandran; Rajagopal, Surendran (2012). "Biliary Cystadenomas: A Case for Complete Resection". HPB Surgery. 2012: 1–6. doi:10.1155/2012/501705. ISSN 0894-8569.
- ↑ Ramacciato, Giovanni; Nigri, Giuseppe R; D'Angelo, Francesco; Aurello, Paolo; Bellagamba, Riccardo; Colarossi, Cristina; Pilozzi, Emanuela; Del Gaudio, Massimo (2006). World Journal of Surgical Oncology. 4 (1): 76. doi:10.1186/1477-7819-4-76. ISSN 1477-7819. Missing or empty
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