Istoadenoma do ducto biliar comum

Cystadenoma of the commom bile duct

Biliary duct cystoadenomas are rare neoplasms, with about 120 cases described in the literature, including cystoadenomas and cystoadenocarcinomas. The authors report a case of cystoadenoma of the common bile duct in a 45-year-old woman with history of jaundice. Ultrasound revealed a cystic mass located in the common bile duct. Endoscopic retrograde cholangiopancreatography showed a negative filling defect in the proximal third of the common bile duct, a finding unique to our case. Total excision of the mass, cholecystectomy and an end-total anastomosis with a T-tube choledochostomy, were performed. Histological examination revealed a multicystic lesion with cavities lined by mucinous columnar non-ciliated epithelium, with surrounding densely cellular stroma resembling ovarian stroma. Six years after surgery the patient is alive and well, with no complains referring to the hepatobiliary tract. No abnormalities are presently detected in the biliary tree, ultrasonographically.

Biliary tract neoplasms; Cholangiopancreatography


Biliary tract neoplasms; Cholangiopancreatography

RELATOS DE CASOS

Istoadenoma do ducto biliar comum

Cystadenoma of the commom bile duct

José de Souza Andrade FilhoI; Gil Patrus Mundim PenaI; Domingos André F. Drummond, TCBC-MGII

IServiço de Anatomia Patológica do Hospital Felício Rocho

IIServiço de Cirurgia do Hospital Felício Rocho

Endereço para correspondência

ABSTRACT

Biliary duct cystoadenomas are rare neoplasms, with about 120 cases described in the literature, including cystoadenomas and cystoadenocarcinomas. The authors report a case of cystoadenoma of the common bile duct in a 45-year-old woman with history of jaundice. Ultrasound revealed a cystic mass located in the common bile duct. Endoscopic retrograde cholangiopancreatography showed a negative filling defect in the proximal third of the common bile duct, a finding unique to our case. Total excision of the mass, cholecystectomy and an end-total anastomosis with a T-tube choledochostomy, were performed. Histological examination revealed a multicystic lesion with cavities lined by mucinous columnar non-ciliated epithelium, with surrounding densely cellular stroma resembling ovarian stroma. Six years after surgery the patient is alive and well, with no complains referring to the hepatobiliary tract. No abnormalities are presently detected in the biliary tree, ultrasonographically.

Key words: Biliary tract neoplasms; Cholangiopancreatography.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Recebido em 29/11/1999

Aceito para publicação em 2/5/2000

Trabalho desenvolvido nos Serviços de Anatomia Patológica e de Cirurgia do Hospital Felício Rocho - Belo Horizonte- MG.

  • 1. Lewis WD, Jenkins RL, Rossi RL, et al - Surgical treatment of biliary cystadenoma. A report of 15 cases. Arch Surg 1988; 123:563-568.
  • 2. Akwari OE, Tucker A, Seigler HF, et al - Hepatobiliary cystadenoma with mesenchymal stroma. Ann Surg 1990; 211:18-27.
  • 3. Devaney K, Goodman ZD, Ishak KG - Hepatobiliary cystadenoma and cystadenocarcinoma. A light microscopic and immunohistochemical study of 70 patients. Am J Surg Pathol 1994; 18:1078-91
  • 4. Wheeler DA, Edmondson DA. - Cystadenoma with mesenchymal stroma (CMS) in the liver and bile ducts. A clinicopathological study of 17 cases, 4 with malignant change. Cancer 1985; 56: 1434-45.
  • 5. Ishak KG, Willis GW, Cummins SD, et al - Biliary cystadenoma and cystadenocarcinoma. Report of 14 cases and review of the literature. Cancer 1977; 38:322-338.

  • Endereço para correspondência:
    Dr. Gil Patrus Mudim Pena
    Rua Uberaba, 418/102
    30180-080 - Belo Horizonte-MG
    E-mail:

Datas de Publicação

  • Publicação nesta coleção
    18 Dez 2008
  • Data do Fascículo
    Dez 2000

Histórico

  • Aceito
    02 Maio 2000
  • Recebido
    29 Nov 1999
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