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A Report of 15 Cases

W. David Lewis, MD; Roger L. Jenkins, MD; Ricardo L. Rossi, MD; Lawrence Munson, MD; Stephen G. ReMine, MD; Blake Cady, MD; John W. Braasch, MD; William V. McDermott, MD

Arch Surg. 1988;123(5):563-568.

Abstract
• Mucinous biliary cystadenomas are rare intrahepatic or, less commonly, extrahepatic neoplasms that may produce massive enlargement, hemorrhage, rupture, secondary infection, jaundice, or vena caval obstruction. Radiologic criteria differentiate biliary cystadenomas from more common parasitic or simple cysts. Treatment has included sclerosis, marsupialization, internal drainage, or resection, but without resection the patient is at risk for enlargement, infection, or progression of an unrecognized malignant neoplasm. We report the course of 15 patients who underwent resection for biliary cystadenoma to elucidate the clinical presentation, preoperative evaluation, and surgical treatment. Nine patients had had previous radiologic or surgical intervention other than excision, and complications of sepsis and tumor recurrence had developed. Following complete resection, however, only five postoperative complications were encountered, and no patient experienced recurrence of tumor. Thus, we recommend complete surgical resection as the preferred therapy.

(Arch Surg 1988;123:563-568)

Author Affiliations
From the Department of Surgery, Harvard Medical School (Drs Lewis, Jenkins, Rossi, Cady, Braasch, and McDermott), and the Department of Surgery, New England Deaconess Hospital (Drs Lewis, Jenkins, Rossi, Cady, and McDermott), Boston; and the Department of Surgery, Lahey Clinic Medical Center, Burlington, Mass (Drs Rossi, Munson, ReMine, and Braasch).

Footnotes
Accepted for publication Jan 20, 1988.

Read before the Annual Meeting of the New England Surgical Society, Bretton Woods, NH, Sept 11, 1987.

Reprint requests to Division of Liver Transplantation, Department of Surgery, New England Deaconess Hospital, 110 Francis St, Boston, MA 02215 (Dr Jenkins).

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