Biliary cystadenoma and cystadenocarcinoma surgery
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Biliary cystadenoma and cystadenocarcinoma Microchapters |
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Differentiating Biliary cystadenoma and cystadenocarcinoma from other Diseases |
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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]